Individual
MS. TONIROSE FUENTES SARASUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CF
Contact information
Practice address
550 N SHERMAN ST, FALLON, NV 89406-3488
(775) 423-7800
Mailing address
240 SERPA PL, APT C124, FALLON, NV 89406-6434
(201) 686-2503
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-2017 PROVISIONAL
NV
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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