Individual
CANDACE STAVROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1815 W 213TH ST STE 100, TORRANCE, CA 90501-2852
(310) 328-0376
Mailing address
3444 MULLDAE AVE, SAN PEDRO, CA 90732-4720
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
27434
CA
Other
Enumeration date
11/07/2017
Last updated
04/03/2019
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