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Individual

MISS AMANDA MARGARET ROEBUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3669 BRISCOE ST, RIVERSIDE, CA 92506-1894
(951) 662-3478
Mailing address
3669 BRISCOE ST, RIVERSIDE, CA 92506-1894
(951) 662-3478

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2424
CA

Other

Enumeration date
03/11/2015
Last updated
03/11/2015
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