Individual
NATASHA ADELE SUPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 HOWE AVE STE 207, SACRAMENTO, CA 95825-3364
(707) 344-1771
(707) 773-7318
Mailing address
1530 FULTON AVE APT 7, SACRAMENTO, CA 95825-5141
(916) 531-6135
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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