Individual
MS. FARDOWSA Y MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
801 FRENCH ST, SANTA ANA, CA 92701-3717
(714) 972-2646
Mailing address
728 S PARK HYDE ST, ORANGE, CA 92868-4834
(714) 606-9024
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
1310
CA
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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