Individual
ALEXANDRA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 SHADY LEAF WAY, SACRAMENTO, CA 95838-1843
(916) 459-7632
Mailing address
4940 SHADY LEAF WAY, SACRAMENTO, CA 95838-1843
(916) 459-7632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
34688
CA
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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