Individual
RAUL LUCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11024 N 28TH DR STE 140, PHOENIX, AZ 85029-4335
(602) 626-8851
Mailing address
5412 N 104TH AVE, GLENDALE, AZ 85307-4189
(623) 806-6230
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA11157
AZ
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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