Individual
SOPHIA NICA MONIQUE VILLALUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21515 HAWTHORNE BLVD STE 890, TORRANCE, CA 90503-6520
(424) 571-2618
Mailing address
21515 HAWTHORNE BLVD STE 890, TORRANCE, CA 90503-6520
(424) 571-2618
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5305
CA
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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