Individual
MIRYAN SELENE MAGALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 W SHAW AVE STE 101, FRESNO, CA 93711-3334
(559) 307-3828
(559) 844-5540
Mailing address
2505 W SHAW AVE STE 101, FRESNO, CA 93711-3334
(559) 307-3828
(559) 844-5540
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7076
CA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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