SURESHA BASAVANAYAK

RANCHO CUCAMONGA, CA
NPI1114126414
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  13911)
Enumeration Date2007-07-16
Last Update Date2007-07-16
Business Address
-- SURESHA BASAVANAYAK MS CCC-SLP
7440 HYSSOP DR
RANCHO CUCAMONGA, CA 91739-9740
Phone number: 909-481-0277
Mailing Address
-- SURESHA BASAVANAYAK MS CCC-SLP
7440 HYSSOP DR
RANCHO CUCAMONGA, CA 91739-9740
Phone number:
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