Individual
MRS. ANASTACIA LARA-DUARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,C.C.C.
Contact information
Practice address
2704 HIDDEN VALLEY DR, SANTA ROSA, CA 95404-1828
(707) 528-3590
Mailing address
2704 HIDDEN VALLEY DR, SANTA ROSA, CA 95404-1828
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP7035
CA
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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