Individual
FAITH PACIFICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
280 HOSPITAL PKWY, BUILDING B, SAN JOSE, CA 95119-1103
(408) 363-4891
(408) 972-7485
Mailing address
5879 LAKE ALMANOR DR, SAN JOSE, CA 95123-2440
(408) 656-2762
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 12543
CA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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