Individual
AI TAMIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3232 E ARTESIA BLVD, LONG BEACH, CA 90805-2811
(562) 422-9219
Mailing address
4244 E JACINTO WAY, LONG BEACH, CA 90815-2632
(310) 754-9172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP23167
CA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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