Individual
CAROLINA LASTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1712 PALOMA AVE, STOCKTON, CA 95209-2536
(909) 396-8900
Mailing address
1712 PALOMA AVE, STOCKTON, CA 95209-2536
(909) 396-8900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41032
CA
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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