MIKI SADIE FUKUSUMI

HAWTHORNE, CA
NPI1821439381
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  26238)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-07-12
Last Update Date2017-10-17
Business Address
MIKI SADIE FUKUSUMI
11840 S LA CIENEGA BLVD
HAWTHORNE, CA 90250-3459
Phone number: 424-269-3400
Mailing Address
MIKI SADIE FUKUSUMI
11840 S LA CIENEGA BLVD
HAWTHORNE, CA 90250-3459
Phone number: 424-269-3400