CARON IVY MELLBLOM

PLACENTIA, CA
NPI1528344181
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  110093972)
Enumeration Date2011-10-27
Last Update Date2011-10-27
Business Address
-- CARON IVY MELLBLOM M.S.
928 FINNELL WAY
PLACENTIA, CA 92870-4445
Phone number: 714-402-8415
Mailing Address
-- CARON IVY MELLBLOM M.S.
928 FINNELL WAY
PLACENTIA, CA 92870-4445
Phone number: 714-402-8415