Individual
MS. NINA LUISA MORANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5358 E BASELINE RD, MESA, AZ 85206-4716
(480) 699-9624
Mailing address
6260 E PORTIA ST, MESA, AZ 85215-1585
(203) 928-7607
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP9266
AZ
Other
Enumeration date
08/19/2013
Last updated
07/07/2020
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