Dora Provencio
Dora Provencio is a Speech-Language Pathologist in Fresno, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
7300 N Fresno StFresno, CA 93720-2941
Phone: (559) 448-3612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 8793 (CA) |
|---|
Record details
| NPI number | 1306055447 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 22, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 37118 Dunlap Rd, Squaw Valley, CA 93675-9606 |
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