Individual
MRS. KENDERIA ANTONETTE BICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3546 S BRICE CIR, MESA, AZ 85212-1923
(334) 322-6243
Mailing address
3546 S BRICE CIR, MESA, AZ 85212-1923
(334) 322-6243
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP8436
AZ
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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