Individual
SULLY ALCARAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19100 VENTURA BLVD STE Q, TARZANA, CA 91356-3238
(818) 708-7704
Mailing address
8115 STEWART AND GRAY RD APT 10, DOWNEY, CA 90241-5158
(562) 556-3508
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA2905
CA
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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