Individual
JOSEFINA MELARA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH ASSISTANT
Contact information
Practice address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
(623) 876-7853
Mailing address
15380 W YOUNG ST APT 3027, SURPRISE, AZ 85374-7459
(623) 202-2205
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6524
AZ
Other
Enumeration date
02/18/2010
Last updated
05/29/2012
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