Individual
KAITLYN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41769 ENTERPRISE CIR N UNIT 104105, TEMECULA, CA 92590-5626
(951) 303-8255
Mailing address
4525 TEMESCAL CANYON RD APT 207, CORONA, CA 92883-4656
(760) 851-4717
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6148
CA
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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