Individual
MRS. LIZETTE T. VIRISSIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2432 W PEORIA AVE STE 1005, PHOENIX, AZ 85029-4727
(602) 626-8851
Mailing address
4848 E ROOSEVELT ST APT 2037, PHOENIX, AZ 85008-7335
(480) 241-6442
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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