Individual
GRANT THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25634 ALESSANDRO BLVD, MORENO VALLEY, CA 92553-4916
(951) 571-7500
Mailing address
1037 OLIVE AVE, BEAUMONT, CA 92223-1645
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2793
CA
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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