Individual
CORA ELIZABETH VAN EARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 W 260 N, OREM, UT 84057-1970
(801) 221-9930
Mailing address
3350 HARRISON ST APT 258, KINGMAN, AZ 86409-0710
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA15488
AZ
Other
Enumeration date
04/12/2018
Last updated
09/20/2024
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