Individual
MISS HANNAH GRACE UPDIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 E BASELINE RD, #1512, GILBERT, AZ 85234-9101
(480) 818-4212
Mailing address
15543 W MORNING VISTA LN, SURPRISE, AZ 85387-6293
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
07/04/2015
Last updated
07/04/2015
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