Individual
DAISY TORRES LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 N 67TH AVE, GLENDALE, AZ 85301-8214
(623) 237-4006
Mailing address
221 N 153RD AVE, GOODYEAR, AZ 85338-2967
(623) 224-5127
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
-
—
AZ
Enumeration date
10/18/2022
Last updated
10/18/2022
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