Individual
ROSA ANGELICA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26716 N HIGH DESERT DR, PEORIA, AZ 85383-3673
(623) 376-5000
Mailing address
21127 N 74TH DR, GLENDALE, AZ 85308-9611
(623) 825-0057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5407
AZ
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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