STEPHANIE GRACE DISTELRATH

WEST COVINA, CA
NPI1407414287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: CA  1447)
Enumeration Date2019-06-05
Last Update Date2019-06-05
Business Address
STEPHANIE GRACE DISTELRATH SLPA
410 E MERCED AVE STE E
WEST COVINA, CA 91790-5058
Phone number: 909-331-7693
Mailing Address
STEPHANIE GRACE DISTELRATH SLPA
PO BOX 1817
UPLAND, CA 91785-1817
Phone number: 909-331-7693