Individual
JESUS PEREDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15322 W LAUREL LN, SURPRISE, AZ 85379-5268
(562) 743-1117
Mailing address
15322 W LAUREL LN, SURPRISE, AZ 85379-5268
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12245
AZ
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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