Individual
ASHLEY NICOLE MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 S GREENWOOD AVE, MONTEBELLO, CA 90640-5816
(323) 721-4605
Mailing address
12902 BARRANCA LN, NORWALK, CA 90650-3306
(323) 365-4065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
29796
CA
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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