Individual
MISS ANTESHA ANTREAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 S. SEVENTH ST., BUCKEYE, AZ 85326
(623) 386-4487
Mailing address
25555 W DURANGO ST, BUCKEYE, AZ 85326-9176
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA13198
AZ
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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