Individual
DANA FARIAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSCCC
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-3140
Mailing address
2474 41ST ST, SACRAMENTO, CA 95817-2123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP11962
CA
Other
Enumeration date
11/29/2005
Last updated
07/08/2007
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