Individual
MONIQUE ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 S MILLIKEN AVE, ONTARIO, CA 91761-2336
(909) 988-2418
Mailing address
1829 DENISON ST, POMONA, CA 91766-1053
(909) 837-1723
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
19318
CA
235Z00000X
Speech-Language Pathologist
19318
CA
Other
Enumeration date
06/27/2024
Last updated
08/06/2024
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