LYDA KONGSWANGWONGSA

ORANGE, CA
NPI1891183422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  21847)
Enumeration Date2015-01-05
Last Update Date2015-01-05
Business Address
-- LYDA KONGSWANGWONGSA
547 W MAPLE AVE
ORANGE, CA 92868-2209
Phone number: 909-636-8125
Mailing Address
-- LYDA KONGSWANGWONGSA
547 W MAPLE AVE
ORANGE, CA 92868-2209
Phone number: 909-636-8125
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