Individual
MRS. KATHERINE GASTELUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 NORTH ANTHEM WAY, FLORENCE, AZ 85132
(520) 723-6400
Mailing address
PO BOX 2850, FLORENCE, AZ 85132-3053
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10815
AZ
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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