MARIA HERIBERTHA PROVENCIO

MADERA, CA
NPI1407065535
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  12864)
Enumeration Date2007-05-22
Last Update Date2017-03-01
Business Address
Mrs. MARIA HERIBERTHA PROVENCIO MA CCC-SLP
9300 VALLEY CHILDRENS PL
MADERA, CA 93636-8761
Phone number: 559-353-3000
Mailing Address
Mrs. MARIA HERIBERTHA PROVENCIO MA CCC-SLP
9898 N WINERY AVE
FRESNO, CA 93720-5435
Phone number: 559-323-7458
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