Individual
JENNIFER PASTORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 W SOUTHERN AVE STE B, MESA, AZ 85202-4716
(623) 888-3502
(480) 795-6161
Mailing address
1001 N PASADENA UNIT 44, MESA, AZ 85201-3520
(256) 658-8716
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
07895
MD
235Z00000X
Speech-Language Pathologist
Primary
12369
AZ
235Z00000X
Speech-Language Pathologist
3353
AL
Other
Enumeration date
08/04/2017
Last updated
10/18/2024
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