Individual
ILCE MARGARITA RODRIGUEZ-AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3209 L ST APT A, SACRAMENTO, CA 95816-5251
(831) 585-0152
Mailing address
18666 NORTHRIDGE DR, SALINAS, CA 93906-1818
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
27108
CA
Other
Enumeration date
05/16/2019
Last updated
08/16/2021
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