Individual
KATHERINE MIRA BUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 BROCKTON AVE, RIVERSIDE, CA 92506-3835
(951) 779-1966
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
(818) 241-6780
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
06/23/2023
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