Miki Sadie Fukusumi
NPI #1821439381 in Hawthorne, California
Provider Information
- NPI Number
- 1821439381
- Entity Type
- Individual
- Name
- Miki Sadie Fukusumi
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jul 12, 2013
- Last Updated
- Oct 17, 2017
Practice Location
- Address
- 11840 S LA CIENEGA BLVD
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-3459
- Phone
- (424) 269-3400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
| Student in an Organized Health Care Education/Training Program |
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