Individual
REBECCA ANN PUKPUMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
140 S GILBERT RD, GILBERT, AZ 85296-1016
(480) 892-2022
Mailing address
4532 E HARRISON ST, GILBERT, AZ 85295-5887
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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