BASLD
Ambulatory Health in Chula Vista, CA

License number
California SP14252
Category
Ambulatory Health
Type
Hearing and Speech
Owner
Name: MRS. CAROLINA GARCIA M.A., CCC-SLP
Title: PRESIDENT
Phone: (619) 600-4392
Address
Address
713 Broadway Ste. E, Chula Vista, CA 91910
National Provider ID: 1740539881
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BASLD

Chula Vista, CA  -  Spring Valley, CA

Registration:
Feb 23, 2009
Addresses:
713 Broadway STE E, Chula Vista, CA 91910 (Physical)
144 Bassett Ct, Spring Valley, CA 91977
State ID:
C3118516
Business type:
Articles of Incorporation
President:
Carolina Garcia (President)

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