Individual
SANDHYA GURUDEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25910 29TH AVE S APT D103, KENT, WA 98032-6989
(909) 851-4057
Mailing address
25910 29TH AVE S APT D103, KENT, WA 98032-6989
(909) 851-4057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60068206
WA
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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