Individual
MRS. JOANN SO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4309 E FLORIAN AVE, MESA, AZ 85206-2798
(909) 380-4779
Mailing address
26011 REYNOLDS ST, LOMA LINDA, CA 92354-3941
(909) 380-4779
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA11085
AZ
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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