Individual
MRS. MIKA VISENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
5430 W GLENN DR, GLENDALE, AZ 85301-2628
(623) 915-0345
Mailing address
5430 W GLENN DR, GLENDALE, AZ 85301-2628
(623) 915-0345
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10800
AZ
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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