Individual
CANON TULLOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2915 N 4TH ST, FLAGSTAFF, AZ 86004-1809
(928) 779-1679
(928) 779-2822
Mailing address
2915 N 4TH ST, FLAGSTAFF, AZ 86004-1809
(928) 779-1679
(928) 779-2822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15350
AZ
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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