Individual
NICOLE VONDRASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-4085
Mailing address
8740 E AVALON DR, SCOTTSDALE, AZ 85251-4967
(480) 239-3574
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2097
AZ
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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