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Individual

MISS ALEENA ANTONY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1261 TRAVIS BLVD STE 120, FAIRFIELD, CA 94533-4804
(707) 917-1000
Mailing address
3700 LYON RD APT 178, FAIRFIELD, CA 94534-7983

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15379
CA

Other

Enumeration date
02/09/2021
Last updated
02/09/2021
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