Individual
IRENE DEYANIRA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., SLP-A
Contact information
Practice address
1752 E BULLARD AVE STE 101, FRESNO, CA 93710-5864
(559) 970-8277
Mailing address
2800 WILLOW AVE APT 137, CLOVIS, CA 93612-4653
(559) 458-5835
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5738
CA
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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