Individual
LARA SAN-PEDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
39210 STATE ST STE 200, FREMONT, CA 94538-1456
(209) 373-0884
Mailing address
4266 SEDGE ST, FREMONT, CA 94555-1151
(209) 373-0884
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY28229
CA
Other
Enumeration date
09/20/2007
Last updated
02/02/2017
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