Individual
JENNIFER SELENA MACIAS ARVIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2702 E FLOWER ST, PHOENIX, AZ 85016-7498
(602) 810-1403
Mailing address
2702 E FLOWER ST, PHOENIX, AZ 85016-7498
(602) 810-1403
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA11529
AZ
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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