Individual
NICOLE ANN DE LA FUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(801) 709-4132
Mailing address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(801) 709-4132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14516557
UT
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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