Individual
GINGER CARLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33391 WALLACE WAY, YUCAIPA, CA 92399-3471
(909) 255-0385
Mailing address
33391 WALLACE WAY, YUCAIPA, CA 92399-3471
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16265
CA
Other
Enumeration date
11/20/2021
Last updated
11/20/2021
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