Individual
CONSUELO RIVERA AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
651 NORTH MAIN STREET, POMONA, CA 91768
(909) 623-2481
Mailing address
1340 S CANDISH AVE, GLENDORA, CA 91740-5800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6053
CA
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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