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Individual

MARITA VANDERNAALT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
23601 W DURANGO ST, BUCKEYE, AZ 85326-3663
(623) 925-3500
Mailing address
264 S 165TH LN, GOODYEAR, AZ 85338-6010

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary

Other

Enumeration date
08/02/2021
Last updated
08/02/2021
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