Individual
DAZA ASTRID HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5314 N 7TH STREET, PHOENIZ, AZ 85014
(623) 217-2948
Mailing address
5314 N 7TH STREET, PHOENIZ, AZ 85014
(623) 217-2948
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP12100
AZ
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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