Individual
MELLISA SUAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5567 RESEDA BLVD STE 107, TARZANA, CA 91356-2648
(818) 968-2337
Mailing address
5567 RESEDA BLVD STE 107, TARZANA, CA 91356-2648
(818) 968-2337
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4977
CA
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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