Individual
LEANNE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12411 SLAUSON AVE, WHITTIER, CA 90606-2835
(714) 872-7641
Mailing address
12411 SLAUSON AVE, WHITTIER, CA 90606-2835
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6927
CA
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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