Individual
ALEJANDRO DANIEL CARRANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 B ST, PETALUMA, CA 94952-4028
(707) 765-3030
Mailing address
4560 SE INTERNATIONAL WAY, ST 100, MILWAUKIE, OR 97222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
29022
CA
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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