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Individual

VALERIA CARRILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1812 W KETTLEMAN LN, LODI, CA 95242-8224
(209) 242-4606
Mailing address
1812 W KETTLEMAN LN STE 1, LODI, CA 95242-4209
(209) 242-4606

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5847
CA

Other

Enumeration date
07/30/2018
Last updated
01/17/2024
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