AUDRENE UNTALAN

SAN DIEGO, CA
NPI1093507477
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  38930)
Enumeration Date2025-05-21
Last Update Date2025-05-21
Business Address
AUDRENE UNTALAN CCC-SLP
13223 BLACK MOUNTAIN RD # 1508
SAN DIEGO, CA 92129-2698
Phone number: 858-753-5082
Mailing Address
AUDRENE UNTALAN CCC-SLP
13223 BLACK MOUNTAIN RD
SAN DIEGO, CA 92129-2698
Phone number:
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