Individual
ELDA I SANTOS TREVIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1999 N AMIDON AVE STE 110, WICHITA, KS 67203-2122
(316) 768-6718
(316) 252-1255
Mailing address
1999 N AMIDON AVE STE 110, WICHITA, KS 67203-2122
(316) 768-6718
(316) 252-1255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4170
KS
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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