Individual
JENNA MARIE LIZAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
23314 N HONCHO CT, SUN CITY, AZ 85373-5000
(602) 309-8845
Mailing address
23314 N HONCHO CT, SUN CITY, AZ 85373-5000
(602) 309-8845
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7746
AZ
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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