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Individual

ANGELICA TO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2015 VIRGINIA ST, BERKELEY, CA 94709-2229
(619) 719-1748
Mailing address
2015 VIRGINIA ST, BERKELEY, CA 94709-2229

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
34395
CA

Other

Enumeration date
08/05/2026
Last updated
08/05/2026
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