Individual
ELYZA JISELA VILLALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9045 E CALLE BOGOTA, TUCSON, AZ 85715-5502
(480) 468-3019
Mailing address
9045 E CALLE BOGOTA, TUCSON, AZ 85715-5502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP17550
AZ
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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