Individual
MS. NICOLE ASHLEY LASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 W 6TH ST, YUMA, AZ 85364-2973
(928) 502-4300
Mailing address
4423 S JASMINE AVE, YUMA, AZ 85365-6397
(361) 510-3859
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA13388
AZ
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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