Individual
MS. JADE SHANG TAO HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1 W ELLIOT RD STE 109, TEMPE, AZ 85284-1310
(480) 374-4341
Mailing address
3255 S DORSEY LN APT 2106, TEMPE, AZ 85282-3992
(480) 284-0613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/11/2022
Last updated
06/11/2022
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