Individual
ANNETTE ALFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8699 HOLDER ST, BUENA PARK, CA 90620-3699
(714) 821-3620
(714) 821-5683
Mailing address
8699 HOLDER ST, BUENA PARK, CA 90620-3699
(714) 821-3620
(714) 821-5683
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
33841
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33841
SPEECH AND LANGUAGE PATHOLOGY LICENSURE
CA
Enumeration date
10/18/2022
Last updated
10/18/2022
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