Individual
OTILIA ELIZABETH HERRERA JAIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
315 W. ELLIOT ROAD #107-250, TEMPE, AZ 85284
(480) 634-5440
Mailing address
3223 W BROWN ST, PHOENIX, AZ 85051-1273
(602) 697-7649
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10618
AZ
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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