Phillip Cory Alba Jr.
Speech-Language Pathologist, in Ontario, CA. Individual provider (NPI-1).
NPI number1588042576
StatusActive
Last updated in NPPESMay 11, 2015
Details
- NPI
- 1588042576
- Entity type
- Individual (NPI-1)
- Name
- Mr. Phillip Cory Alba Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2015
- Last updated
- May 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 19632 | CA | Yes |
Practice location
301 E F StOntario, CA 91764-3719
Phone 909-717-7439
Mailing address
301 E F StOntario, CA 91764-3719
Phone 909-717-7439
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