Individual
MRS. CAMILLE GERMAINE GARCHITORENA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSLP, CF-SLP
Contact information
Practice address
108 W UNIVERSITY DR, MESA, AZ 85201-5818
(480) 668-1917
Mailing address
8454 E MILAGRO CIR, MESA, AZ 85209-7316
(714) 872-1504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP11181
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
388418
—
AZ
Enumeration date
12/29/2017
Last updated
03/26/2025
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