Individual
ALLYSSA MARIE TESORO MADRIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 BERN CT STE 130, SAN JOSE, CA 95112-1242
(408) 437-8864
Mailing address
3297 BIRCHWOOD LN, SAN JOSE, CA 95132-1207
(408) 896-6164
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19288
CA
Other
Enumeration date
06/25/2024
Last updated
06/28/2024
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