Individual
RAYCLYN CELINE KEALANI TAKUSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12701 N MAIN ST, EL MIRAGE, AZ 85335-2600
(623) 523-8950
Mailing address
12701 N MAIN ST, EL MIRAGE, AZ 85335-2600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
08/21/2025
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