Individual
ALISTAIR TASHAYA TRISORUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP-CF
Contact information
Practice address
1685 WESTWOOD DR STE 3, SAN JOSE, CA 95125-5104
(408) 430-2667
Mailing address
1685 WESTWOOD DR STE 3, SAN JOSE, CA 95125-5104
(408) 430-2667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16841
CA
Other
Enumeration date
07/21/2022
Last updated
12/05/2022
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