Individual
ALANNA DUTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1377 HANCHETT AVE, SAN JOSE, CA 95126-2606
(707) 834-6139
Mailing address
1377 HANCHETT AVE, SAN JOSE, CA 95126-2606
(707) 834-6139
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19948
CA
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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