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Alfred Agustin
Speech-Language Assistant in Panorama City, California
NPI 1619682077

Alfred Agustin is a Speech-Language Assistant based in Panorama City, CA and is specialized in Speech-Language Assistant. Alfred Agustin practices in Panorama City, CA. The NPI Number for Alfred Agustin is 1619682077 and holds a License No. 6490 (California).

The current practice location address for Alfred Agustin is 9339 Sylmar Ave Apt 29, Panorama City, CA and can be reached out via phone at 818-437-7841.

Location: 9339 Sylmar Ave Apt 29, Panorama City, CA, 91402-6914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619682077
Provider Name
Alfred Agustin
Credential
Provider Entity Type
Individual
Gender
Male
Address
9339 Sylmar Ave Apt 29, Panorama City, CA, 91402-6914
Phone Number
818-437-7841
Fax Number
Provider Enumeration Date
01/20/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F5170424 01 CA WORK
institution
Provider Business Practice Location Address Details
Address
9339 Sylmar Ave Apt 29
City
Panorama City
State
California
Zip
91402-6914
Phone Number
818-437-7841
Fax Number
person
Provider Business Mailing Address Details
Address
9339 Sylmar Ave Apt 29
City
Panorama City
State
California
Zip
91402-6914
Phone Number
818-437-7841
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
6490 (California)
Definition
Definition to come...
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