Individual
ANGELA LORRAINE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5025 E WASHINGTON ST, PHOENIX, AZ 85034-7437
(602) 773-5773
Mailing address
1000 S GILBERT RD APT 3098, GILBERT, AZ 85296-0454
(480) 433-2721
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SLPA11511
AZ
Other
Enumeration date
10/08/2018
Last updated
02/10/2023
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