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Individual

ANA LUZ PORTILLO FRANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 725-5106
Mailing address
4388 EL CAMINO REAL UNIT 267, LOS ALTOS, CA 94022-6507
(650) 380-6736

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18882
CA

Other

Enumeration date
05/07/2011
Last updated
05/07/2011
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