Individual
MRS. ANU GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
15563 JASMINE PL, TUSTIN, CA 92782-1923
(949) 307-0838
Mailing address
15563 JASMINE PL, TUSTIN, CA 92782-1923
(949) 307-0838
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6346
CA
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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