Individual
AMANDA KAY VAN SMAALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N WALNUT ST, LA HABRA, CA 90631-3769
(562) 690-2305
Mailing address
120 S ORANGE AVE, FULLERTON, CA 92833-2760
(714) 904-3680
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3429
CA
Other
Enumeration date
04/27/2019
Last updated
04/27/2019
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