LISA POTRUCH

LOS ANGELES, CA
NPI1932419843
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  SP8170)
Enumeration Date2010-10-13
Last Update Date2010-10-13
Business Address
-- LISA POTRUCH
7566 COWAN AVENUE
LOS ANGELES, CA 90045
Phone number: 310-686-5398
Mailing Address
-- LISA POTRUCH
7566 COWAN AVENUE
LOS ANGELES, CA 90045
Phone number: 310-686-5398
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