Individual
CARLOS ALBERTO LANDABAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4510 N 37TH AVE, PHOENIX, AZ 85019-3206
(602) 336-2920
Mailing address
5623 N 32ND DR, PHOENIX, AZ 85017-2416
(602) 540-7297
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLP7624
AZ
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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