Individual
MELISSA BANABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.L.P.A.
Contact information
Practice address
3111 N TUSTIN ST STE 100, ORANGE, CA 92865-1751
(714) 835-5587
Mailing address
3111 N TUSTIN ST STE 100, ORANGE, CA 92865-1751
(714) 835-5587
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2374
CA
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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