Individual
JAIMIE RENSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
18001 N 79TH AVE STE C53, GLENDALE, AZ 85308-8394
(602) 805-9434
Mailing address
18001 N 79TH AVE STE C53, GLENDALE, AZ 85308-8394
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA13626
AZ
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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