Individual
ROSENDA URIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
337 ADOBE ST, SAN LUIS, AZ 85349
(928) 785-2095
Mailing address
PO BOX 3614, SAN LUIS, AZ 85349-3614
(928) 785-2095
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10850
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710429865
PRIVATE CLINIC
AZ
Enumeration date
09/08/2017
Last updated
09/08/2017
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