VENKATA VEGIVADA

GLENDALE, CA
NPI1720476104
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  SP17925)
Enumeration Date2015-01-07
Last Update Date2015-01-07
Business Address
-- VENKATA VEGIVADA
1510 ROCK GLEN AVE APT 107
GLENDALE, CA 91205-2034
Phone number: 909-831-3778
Mailing Address
-- VENKATA VEGIVADA
1510 ROCK GLEN AVE APT 107
GLENDALE, CA 91205-2034
Phone number: 909-831-3778
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