Individual
IAN KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10650 REAGAN ST UNIT 745, LOS ALAMITOS, CA 90720-8840
(562) 896-1190
Mailing address
10650 REAGAN ST UNIT 745, LOS ALAMITOS, CA 90720-8840
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19280
CA
Other
Enumeration date
12/05/2013
Last updated
05/15/2014
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