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REGENCY DARVISH

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

Registrant NPI Number: 1235780008

Individual Registrant:
 REGENCY  DARVISH 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
11800 STATE HIGHWAY 96  HOOPA, CA 95546-9742 US
Tel: 530-625-5600  Fax: --

Contact information for business:
11800 STATE HIGHWAY 96  HOOPA, CA 95546-9742 US
Tel: 530-625-5600  Fax: --

Registration Information:
NPI: 1235780008
Entity Type: Individual

Specialty information:

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

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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