Individual
ELAINA MARRUJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1300 PARK NEWPORT, #206, NEWPORT BEACH, CA 92660-5008
(949) 307-6562
Mailing address
1300 PARK NEWPORT, #206, NEWPORT BEACH, CA 92660-5008
(949) 307-6562
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19532
CA
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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