Individual
LADAN SAMIEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19670 E REINS RD, QUEEN CREEK, AZ 85142-8681
(480) 528-2746
Mailing address
19670 E REINS RD, QUEEN CREEK, AZ 85142-8681
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9858
AZ
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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