Individual
CLEO MARIELLE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 S 87TH AVE, TOLLESON, AZ 85353-7000
(623) 474-7000
(623) 936-9253
Mailing address
1616 N CENTRAL AVE APT 2140, PHOENIX, AZ 85004-1662
(469) 888-1149
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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