Individual
JESIRAE JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 E CAMPBELL AVE, PHOENIX, AZ 85014-4204
(602) 561-2727
Mailing address
1229 E CAMPBELL AVE, PHOENIX, AZ 85014-4204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP9252
AZ
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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