Individual
MR. BERNARDO CALVILLO SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLPA
Contact information
Practice address
2025 S 371ST AVE, TONOPAH, AZ 85354-8262
(623) 505-8298
Mailing address
2025 S 371ST AVE, TONOPAH, AZ 85354-8262
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12163
AZ
2355S0801X
Speech-Language Assistant
SLPA12164
AZ
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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