Individual
BREANNA LIZETT RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14500 OLIVE VIEW DR, SYLMAR, CA 91342-1569
(310) 553-2695
Mailing address
14500 OLIVE VIEW DR, SYLMAR, CA 91342-1569
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
9447
CA
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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