ALEXA GRACE BAUTISTA

FOUNTAIN HILLS, AZ
NPI1104347939
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  TSLP10697)
Enumeration Date2017-07-01
Last Update Date2017-07-01
Business Address
ALEXA GRACE BAUTISTA
16428 E KINGSTREE BLVD
FOUNTAIN HILLS, AZ 85268-5440
Phone number: 480-837-4565
Mailing Address
ALEXA GRACE BAUTISTA
4501 E JOAN DE ARC AVE
PHOENIX, AZ 85032-6462
Phone number: 602-579-4691