HERU HENDARTO

SALT LAKE CITY, UT
NPI1235449539
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: UT  4841650-4102)
Enumeration Date2010-10-20
Last Update Date2010-10-20
Business Address
-- HERU HENDARTO MD,MS, CCC-SLP
755 JUSTIN KAY CT
SALT LAKE CITY, UT 84104-1619
Phone number: 801-599-7471
Mailing Address
-- HERU HENDARTO MD,MS, CCC-SLP
755 JUSTIN KAY CT
SALT LAKE CITY, UT 84104-1619
Phone number:
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