Individual
THELMA YVONNE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N WALNUT ST, LA HABRA, CA 90631-3769
(562) 609-2305
Mailing address
461 E WHITTIER BLVD STE A, LA HABRA, CA 90631-3983
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5009
CA
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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