Individual
MARY M CHALABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23101 LAKE CENTER DR, LAKE FOREST, CA 92630-2801
(949) 305-0315
Mailing address
71 CAPE COD, IRVINE, CA 92620-2713
(909) 542-7172
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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