Individual
JESSICA MINJAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
5001 W DOBBINS RD, LAVEEN, AZ 85339-9733
(602) 237-9100
Mailing address
2716 W SUNLAND AVE, PHOENIX, AZ 85041-3479
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA11856
AZ
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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