Provider Demographics
NPI:1083308977
Name:PALAFOX-PALOS, YAHAIRA DEL ROCIO
Entity type:Individual
Prefix:
First Name:YAHAIRA
Middle Name:DEL ROCIO
Last Name:PALAFOX-PALOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YAHAIRA
Other - Middle Name:DEL ROCIO
Other - Last Name:PALOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12866 PORTOLA ST
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-5462
Mailing Address - Country:US
Mailing Address - Phone:650-504-0974
Mailing Address - Fax:
Practice Address - Street 1:12866 PORTOLA ST
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-5462
Practice Address - Country:US
Practice Address - Phone:650-504-0974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68492355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant