Organization
SOUTH PACIFIC REHABILITATION SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE DE LOS TRINOS DUQUE M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(818) 216-0008
Entity
Organization
Contact information
Practice address
12047 STEWARTON DR, PORTER RANCH, CA 91326-1156
(818) 216-0008
Mailing address
12047 STEWARTON DR, PORTER RANCH, CA 91326-1156
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SP14161
CA
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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