Individual
JENA M LOVATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 E BASELINE RD STE 109, MESA, AZ 85206-4403
(480) 818-4212
Mailing address
2332 VIA GRANADA PL NW, ALBUQUERQUE, NM 87104-3097
(505) 205-3472
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12084
AZ
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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