Individual
ALIYA WANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 54TH ST OFC 8, OAKLAND, CA 94608-3142
(510) 879-5003
Mailing address
543 BONITA CT, VALLEJO, CA 94591-6521
(510) 295-7107
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14121
CA
235Z00000X
Speech-Language Pathologist
Primary
9431
NC
Other
Enumeration date
08/08/2011
Last updated
03/09/2026
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