Individual
DUSTIN M GERMAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1462 E PONCHO LN, SAN TAN VALLEY, AZ 85143-3218
(480) 343-7124
Mailing address
1462 E PONCHO LN, SAN TAN VALLEY, AZ 85143-3218
(480) 343-7124
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA8151
AZ
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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