Individual
JUAN PABLO HERRERA OBALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLPA
Contact information
Practice address
632 W 11TH ST STE 119, TRACY, CA 95376-3860
(209) 237-2484
(209) 237-2485
Mailing address
632 W 11TH ST STE 119, TRACY, CA 95376-3860
(209) 237-2484
(209) 237-2485
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5677
CA
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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