Ivonne De Carlo Fuller, M.S
NPI #1679859631 in Baldwin Park, California
Provider Information
- NPI Number
- 1679859631
- Entity Type
- Individual
- Name
- Ivonne De Carlo Fuller, M.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S
- Enumeration Date
- Oct 21, 2011
- Last Updated
- Dec 16, 2021
Practice Location
- Address
- 1011 BALDWIN PARK BLVD
- City
- Baldwin Park
- State
- California
- ZIP Code
- 91706-5806
- Phone
- (626) 851-6671
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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