Individual
MS. RUNA KIMBERLY JETMUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
1502 W MOUNTAIN VIEW RD, PHOENIX, AZ 85021-2158
(602) 347-4173
Mailing address
4650 W. SWEETWATER, GLENDALE, AZ 85304
(602) 347-2600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP5189
AZ
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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