Individual
DIANEY ANDREA GRIJALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1132 E 12TH ST, DOUGLAS, AZ 85607-2337
(520) 364-2447
Mailing address
2714 E 6TH ST, DOUGLAS, AZ 85607-3526
(520) 236-8956
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA15699
AZ
Other
Enumeration date
09/18/2024
Last updated
09/30/2024
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