Individual
MISS MARISSA ELENA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2432 W PEORIA AVE, PHOENIX, AZ 85029-4726
(602) 626-8851
(602) 865-8020
Mailing address
2070 S 155TH DR, GOODYEAR, AZ 85338-2906
(602) 502-9225
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6838
AZ
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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