Organization
LARA T. SAN PEDRO, PSY.D., A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA SAN PEDRO PSYD (PSYCHOLOGIST)
(209) 373-0884
Entity
Organization
Contact information
Practice address
39210 STATE ST, SUITE 200, FREMONT, CA 94538-1456
(209) 373-0884
Mailing address
39210 STATE ST, SUITE 200, FREMONT, CA 94538-1456
(209) 373-0884
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
28229
CA
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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