Individual
WILLIAM GERARDO OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6306 N 7TH ST, PHOENIX, AZ 85014-1549
(602) 279-5801
Mailing address
5131 N 40TH ST, APT A210, PHOENIX, AZ 85018-2117
(520) 429-7123
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9239
AZ
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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