Individual
KAYLA CARMEN MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 W ELLIOT RD STE 203, GILBERT, AZ 85233-5142
(480) 265-5557
Mailing address
2360 S TERRIPIN, MESA, AZ 85209-4933
(480) 270-0933
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA11333
AZ
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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