Individual
DONNA MARIE EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3722 KATELLA AVE STE C, LOS ALAMITOS, CA 90720-3102
(310) 953-8003
Mailing address
867 CORTEZ ST, COSTA MESA, CA 92626-5822
(949) 285-4357
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6775
CA
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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