Individual
GLORIA INTERIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.- SLP
Contact information
Practice address
1981 QUEBEC AVE APT B, SAN LEANDRO, CA 94579-2259
(209) 366-4261
Mailing address
1981 QUEBEC AVE APT B, SAN LEANDRO, CA 94579-2259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8045
CA
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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