Individual
ROSA M AGUALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 N WASHINGTON AVE, DOUGLAS, AZ 85607-3602
(520) 364-6311
Mailing address
PO BOX 163, ELFRIDA, AZ 85610-0163
(520) 508-5193
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7405
AZ
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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