Individual
CLAUDETTE CARREON LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1550 SILVEIRA PKWY, SAN RAFAEL, CA 94903-4879
(415) 446-3818
Mailing address
1550 SILVEIRA PKWY, SAN RAFAEL, CA 94903-4879
(415) 446-3818
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8590
CA
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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