Individual
CAMRYN JORDAN DIESTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 ANITA DR, GARLAND, TX 75041-2703
(972) 490-9055
Mailing address
2625 ANITA DR, GARLAND, TX 75041-2703
(214) 621-8824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
122811
TX
Other
Enumeration date
07/31/2025
Last updated
08/04/2025
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