Individual
GESINA PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4010 MOORPARK AVE, 117, SAN JOSE, CA 95117-4101
(208) 249-0770
Mailing address
4010 MOORPARK AVE, 117, SAN JOSE, CA 95117-4101
(208) 249-0770
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22476
CA
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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