Individual
GENESIS HASBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12408 N 56TH ST STE 2, TEMPLE TERRACE, FL 33617-1522
(813) 374-9414
Mailing address
6508 GUNN HWY, TAMPA, FL 33625-4022
(813) 963-6923
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI2928
FL
Other
Enumeration date
07/27/2016
Last updated
12/10/2021
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