Individual
MRS. VANESSA TIANNA LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.,SLPA
Contact information
Practice address
160 S OLD SPRINGS RD, SUITE 100, ANAHEIM, CA 92808-1260
(714) 282-8852
Mailing address
160 S OLD SPRINGS RD, SUITE 100, ANAHEIM, CA 92808-1260
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA1314
CA
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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