Individual
BREANNA R RADOSEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15116 N COTTON LN, SURPRISE, AZ 85388-9618
(623) 322-8250
Mailing address
15249 W GEORGIA DR, SURPRISE, AZ 85379-8184
(951) 775-0667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP14117
AZ
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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