KIRA ANNE STASYSHAN

SANTA MONICA, CA
NPI1760658090
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  SP16772)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP006454)
Enumeration Date2008-05-06
Last Update Date2008-05-06
Business Address
Miss KIRA ANNE STASYSHAN
937 3RD ST APT 206
SANTA MONICA, CA 90403-2517
Phone number: 404-702-6645
Mailing Address
Miss KIRA ANNE STASYSHAN
937 3RD ST APT 206
SANTA MONICA, CA 90403-2517
Phone number: 404-702-6645