Individual
AYLIN ALEXIS HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4612 DAVID STRICKLAND RD, FORT WORTH, TX 76119-5299
(620) 214-0837
Mailing address
290 W LAKE PARK RD APT 806, LEWISVILLE, TX 75057-3886
(620) 214-0837
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
43360
TX
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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