Individual
MISS MAR ALEJANDRA BONILLA YANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CC-SLP
Contact information
Practice address
1252 S AVONDALE BLVD, AVONDALE, AZ 85323-8900
(623) 478-5700
Mailing address
12115 W VAN BUREN ST APT 1911, AVONDALE, AZ 85323-7251
(915) 226-3018
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP10707
AZ
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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