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Organization

SPEECH AND FEEDING NEST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFANI KAYE WILHELM (MANAGER)
(480) 707-1082
Entity
Organization

Contact information

Practice address
1940 W 4TH N, SAINT JOHNS, AZ 85936-4885
(480) 707-1082
Mailing address
PO BOX 2576, SAINT JOHNS, AZ 85936-2576
(480) 707-1082

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary

Other

Enumeration date
03/08/2024
Last updated
03/08/2024
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