Individual
ROSA IRENE GUTIERREZ VANEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.SLP
Contact information
Practice address
307 E ANNANDALE RD # 208, FALLS CHURCH, VA 22042-2454
(202) 417-6609
Mailing address
301 W BROAD ST APT 665, FALLS CHURCH, VA 22046-3376
(202) 374-8192
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
022450
NY
235Z00000X
Speech-Language Pathologist
Primary
2202007901
VA
Other
Enumeration date
08/09/2012
Last updated
07/17/2023
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