Individual
MS. ANJANA JAYARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
831 CANDLEWOOD DR, CUPERTINO, CA 95014-4651
(425) 985-8682
Mailing address
831 CANDLEWOOD DR, CUPERTINO, CA 95014-4651
(425) 985-8682
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP23784
CA
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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