Individual
TARYN DANIELLE IWAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13066 VAN NUYS BLVD, PACOIMA, CA 91331-2576
(818) 206-8217
Mailing address
17216 SATICOY ST # 141, VAN NUYS, CA 91406-2103
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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