Individual
DYANNE GISELLE ALTAMIRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11026 W MONTEROSA ST, PHOENIX, AZ 85037-5725
(623) 800-4204
Mailing address
11026 W MONTEROSA ST, PHOENIX, AZ 85037-5725
(623) 800-4204
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA13575
AZ
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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