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Shannon Ballesteros
Speech-Language Assistant in Covina, California
NPI 1699407445

Shannon Ballesteros is a Speech-Language Assistant based in Covina, CA and is specialized in Speech-Language Assistant. Shannon Ballesteros practices in Covina, CA. The NPI Number for Shannon Ballesteros is 1699407445 and holds a License No. (California).

The current practice location address for Shannon Ballesteros is 414 E San Bernardino Rd, Covina, CA and can be reached out via phone at 626-367-3206.

Location: 414 E San Bernardino Rd, Covina, CA, 91723-1704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699407445
Provider Name
Shannon Ballesteros
Credential
Provider Entity Type
Individual
Gender
Female
Address
414 E San Bernardino Rd, Covina, CA, 91723-1704
Phone Number
626-367-3206
Fax Number
Provider Enumeration Date
06/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
414 E San Bernardino Rd
City
Covina
State
California
Zip
91723-1704
Phone Number
626-367-3206
Fax Number
person
Provider Business Mailing Address Details
Address
414 E San Bernardino Rd
City
Covina
State
California
Zip
91723-1704
Phone Number
626-367-3206
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.
()
Definition
Definition to come...
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