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Individual

AMBER KRISTEN COSTANZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10789 TERRA VISTA PKWY, RANCHO CUCAMONGA, CA 91730-7324
(909) 980-1230
Mailing address
9992 PALO ALTO ST, RANCHO CUCAMONGA, CA 91730-1539
(909) 518-7626

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP27510
CA

Other

Enumeration date
04/20/2026
Last updated
04/20/2026
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