Individual
MS. DENISE VICTORIA KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1310 REDLANDS AVE, COLTON, CA 92324-2428
(909) 533-0902
Mailing address
1310 REDLANDS AVE, COLTON, CA 92324-2428
(909) 533-0902
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6283
CA
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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