Individual
BONNIE SOULES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25102 JEFFERSON AVE STE D, MURRIETA, CA 92562-1708
(951) 461-1190
Mailing address
25102 JEFFERSON AVE STE D, MURRIETA, CA 92562-1708
(951) 461-1190
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA504
CA
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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