Asilo, Annica Mabunga
Asilo, Annica Mabunga is an individual health care provider with primary practice located at 311 Ray St , Pleasanton CA 94566-6621. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Asilo, Annica Mabunga can be contacted via phone (925) 399-5796.Contact Information
Primary practice address
311 Ray St
Pleasanton CA 94566-6621
Phone: (925) 399-5796
Fax: (925) 249-5121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | California |
Profile Details
| NPI number | 1740952852 |
|---|---|
| LBN Legal business name | Asilo, Annica Mabunga |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2021 |
| Last updated | Sep 28th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740952852 | NPPES |
| California | Other | 208610724 | SPEECH THERAPY |
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