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Organization

FIVE OAKS SPEECH THERAPY SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENE ROBLES SLP (PRESIDENT AND CHIEF EXECUTIVE OFFIC)
(909) 824-2899
Entity
Organization

Contact information

Practice address
22365 BARTON RD, SUITE 104, GRAND TERRACE, CA 92313-5015
(909) 824-2899
(909) 687-2326
Mailing address
22365 BARTON RD, SUITE 104, GRAND TERRACE, CA 92313-5015
(909) 824-2899
(909) 687-2326

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
10442
CA

Other

Enumeration date
12/28/2015
Last updated
03/13/2019
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