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Individual
JAMIE CARISSA D PLATA
Active
Individual
JAMIE CARISSA D PLATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
4799
CA
235Z00000X
Speech-Language Pathologist
14044
CA
235Z00000X
Speech-Language Pathologist
Primary
30771
CA
Other
Enumeration date
09/12/2017
Last updated
10/27/2020
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