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Individual

MS. IRINA ONISKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1972 DEL PASO RD STE 156, SACRAMENTO, CA 95834-7725
(916) 575-8800
Mailing address
327 SENATOR AVE, SACRAMENTO, CA 95833-1318
(916) 459-9869

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17210
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17210
SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AND HEARING AID DISPENSERS BOARD
CA
Enumeration date
01/22/2020
Last updated
10/02/2022
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