Individual
MRS. YVONNE MARIE SAN JUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4241 B ST STE 301, ANCHORAGE, AK 99503-5920
(907) 727-0935
(907) 276-7529
Mailing address
4241 B ST STE 301, ANCHORAGE, AK 99503-5920
(907) 727-0935
(907) 276-7529
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
482
AK
235Z00000X
Speech-Language Pathologist
Primary
SLPS482
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1610921
—
AK
Enumeration date
04/15/2014
Last updated
08/15/2018
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