Individual
YESENIA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1480 S HARBOR BLVD STE 14, LA HABRA, CA 90631-7570
(562) 284-9632
Mailing address
2420 W COMMONWEALTH AVE APT B2, FULLERTON, CA 92833-2987
(714) 803-8848
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7420
CA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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