Individual
MS. DIANA CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
3558 HURON, FLAGSTAFF, AZ 86005-4056
(209) 202-5416
Mailing address
3558 HURON, FLAGSTAFF, AZ 86005-4056
(209) 202-5416
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12370
AZ
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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