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MS. ANNICA MABUNGA ASILO

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1740952852

Individual Registrant:
MS. ANNICA MABUNGA  ASILO 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
311 RAY ST  PLEASANTON, CA 94566-6621 US
Tel: 925-399-5796  Fax: 925-249-5121

Contact information for business:
311 RAY ST  PLEASANTON, CA 94566-6621 US
Tel: 925-399-5796  Fax: 925-249-5121

Registration Information:
NPI: 1740952852
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
CA

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
SPEECH THERAPY208610724CA01




HEALTH CARE JOBS CA - Page 1



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