Individual
YESENIA ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
154 S 223RD DR, BUCKEYE, AZ 85326-7187
(623) 556-3608
Mailing address
154 S 223RD DR, BUCKEYE, AZ 85326-7187
(623) 556-3608
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA13571
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427661
—
AZ
Enumeration date
02/14/2022
Last updated
02/14/2022
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