Organization
FOLSOM ADVANCED SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANIESA GARCIA (OFFICE MANAGER)
(775) 673-4455
Entity
Organization
Contact information
Practice address
555 OAKDALE ST STE F, FOLSOM, CA 95630-2451
(775) 673-4455
(775) 673-4457
Mailing address
555 OAKDALE ST STE F, FOLSOM, CA 95630-2451
(775) 673-4455
(775) 673-4457
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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