Individual
LELANI MYBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
9466 BLACK MOUNTAIN RD STE 100, SAN DIEGO, CA 92126
(858) 689-2027
(858) 397-2172
Mailing address
9466 BLACK MOUNTAIN RD STE 100, SAN DIEGO, CA 92126-4550
(858) 689-2027
(858) 397-2172
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA-613
CA
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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