Individual
TATIANA SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
3400 MT DIABLO BLVD STE 200, LAFAYETTE, CA 94549-3994
(925) 954-4546
Mailing address
640 VASCONCELLOS AVE, MANTECA, CA 95336-8546
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6006
CA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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