Individual
KEOKIA LEORA MENDIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
111 SAN CARLOS LANE, ASAN, GU 96922
(671) 482-4845
Mailing address
PO BOX 1947, HAGATNA, GU 96932-1947
(671) 482-4845
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
18655
CA
235Z00000X
Speech-Language Pathologist
Primary
SLA-051
GU
Other
Enumeration date
01/22/2010
Last updated
09/18/2015
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