Individual
MAYRA CANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10039 OMAR ST, RIVERSIDE, CA 92503-4117
(951) 218-0903
Mailing address
10039 OMAR ST, RIVERSIDE, CA 92503-4117
(951) 218-0903
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5064
CA
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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