Individual
DAYANA G BOCANEGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
272 E SAGEBRUSH ST, LITCHFIELD PARK, AZ 85340-4934
(602) 702-3917
Mailing address
1838 S 172ND LN, GOODYEAR, AZ 85338-1755
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12036
AZ
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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