Individual
GLADYS VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
3127 W MOLLY LN, PHOENIX, AZ 85083-5808
(480) 979-1613
Mailing address
3127 W MOLLY LN, PHOENIX, AZ 85083-5808
(480) 979-1613
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA15281
AZ
Other
Enumeration date
08/09/2024
Last updated
08/26/2024
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