Individual
CASSANDRA SIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 W 11TH ST STE 119, TRACY, CA 95376
(925) 470-6948
Mailing address
632 W 11TH ST STE 119, TRACY, CA 95376-3860
(925) 470-6948
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3716
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/18/2017
Last updated
09/28/2019
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