Individual
CRISTA BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 N EUCLID AVE, ONTARIO, CA 91762-2729
(909) 983-2020
(909) 983-6847
Mailing address
855 N EUCLID AVE, ONTARIO, CA 91762-2729
(909) 983-2020
(909) 983-6847
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
RPE 9402
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95-1946482
—
CA
Enumeration date
07/09/2015
Last updated
07/09/2015
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