Individual
ROSA ILEANA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3406 W MALDONADO RD, PHOENIX, AZ 85041-6318
(480) 907-1360
Mailing address
11034 W SHERIDAN ST, AVONDALE, AZ 85392-5886
(602) 596-8561
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA15923
AZ
Other
Enumeration date
09/02/2025
Last updated
09/03/2025
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