Individual
GAIL CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 W FRYE RD, CHANDLER, AZ 85224-6178
(480) 812-7000
Mailing address
18516 E VIA DE ARBOLES, QUEEN CREEK, AZ 85142-4033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP7774
AZ
Other
Enumeration date
07/27/2012
Last updated
08/02/2017
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