Individual
GABRIELLA DE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20470 N LAKE PLEASANT RD STE 107, PEORIA, AZ 85382-9708
(623) 248-3324
Mailing address
15116 N COTTON LN, SURPRISE, AZ 85388-9618
(602) 748-5702
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10184
AZ
Other
Enumeration date
10/25/2016
Last updated
06/28/2024
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