Individual
GRACE MARY IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2639 W SR 434, LONGWOOD, FL 32779-4878
(321) 972-8326
Mailing address
2639 W SR 434, LONGWOOD, FL 32779-4878
(321) 972-8326
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI4069
FL
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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