Individual
BIANCA LANA HAVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
232 SANTA MARGARITA, SAN RAFAEL, CA 94901-1638
(415) 454-6340
Mailing address
232 SANTA MARGARITA, SAN RAFAEL, CA 94901-1638
(415) 454-6340
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9998
CA
Other
Enumeration date
08/09/2015
Last updated
08/09/2015
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