SAMANTHA ROSE FANNIN

GLENDALE, AZ
NPI1124789052
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: AZ  SLPA13538)
Enumeration Date2022-01-03
Last Update Date2022-01-03
Business Address
SAMANTHA ROSE FANNIN
4327 W MICHIGAN AVE
GLENDALE, AZ 85308-1640
Phone number: 623-986-9533
Mailing Address
SAMANTHA ROSE FANNIN
4327 W MICHIGAN AVE
GLENDALE, AZ 85308-1640
Phone number: 623-986-9533
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