California
Department of Consumer Affairs
PROVENCIO MARIA HERI BERTHA
Speech Language Pathology & Audiology - Licensees
License number
12864
Date granted
05/20/2002
Date expires
11/30/2015
Class
Speech Language Pathology & Audiology - Licensees
Status
Valid
Address
FRESNO
californialicensing.org
ID 30971800
LAST UPDATED 2024-03-14 17:44:19 UTC
LAST UPDATED 2024-03-14 17:44:19 UTC
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