Individual
ISABELA DATOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22672 LAMBERT ST STE 611, LAKE FOREST, CA 92630-1613
(949) 329-8161
Mailing address
22672 LAMBERT ST STE 611, LAKE FOREST, CA 92630-1613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15979
CA
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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