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Individual

MRS. JOANNA MARIE PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
5945 BROCKTON AVE, RIVERSIDE, CA 92506-1800
(951) 779-1966
Mailing address
12884 RAINTREE CT, CHINO, CA 91710-4665
(909) 856-8897

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
1669
CA

Other

Enumeration date
03/11/2013
Last updated
03/11/2013
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