MARYAM VERNON

TORRANCE, CA
NPI1881115715
Former NameMARYAM FORK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  11565)
Enumeration Date2017-06-30
Last Update Date2017-06-30
Business Address
Mrs. MARYAM VERNON
3521 LOMITA BLVD STE 201
TORRANCE, CA 90505-5040
Phone number: 310-856-8528
Mailing Address
Mrs. MARYAM VERNON
4727 W 147TH ST UNIT 121
LAWNDALE, CA 90260-1304
Phone number: 310-968-6589
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