YEVGENIYA SAFRONOVNA PRUSAKOVA

SAN BRUNO, CA
NPI1699981563
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  SP15602)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
Mrs. YEVGENIYA SAFRONOVNA PRUSAKOVA SLP
6308 SHELTER CREEK LN
SAN BRUNO, CA 94066-3871
Phone number: 650-616-8738
Mailing Address
Mrs. YEVGENIYA SAFRONOVNA PRUSAKOVA SLP
6308 SHELTER CREEK LN
SAN BRUNO, CA 94066-3871
Phone number: 650-616-8738