Individual
RAQUEL AHIWELA MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3627 E INDIAN SCHOOL RD STE 102, PHOENIX, AZ 85018-5159
(419) 271-3235
Mailing address
3627 E INDIAN SCHOOL RD STE 102, PHOENIX, AZ 85018-5159
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
AZ
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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