RANDY EARL WANTTAJA

VIRGINIA BEACH, VA
NPI1265485726
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: VA  2202004535)
Enumeration Date2006-05-18
Last Update Date2007-07-08
Business Address
Mr. RANDY EARL WANTTAJA M.A., C.C.C.-S.L.P.
5301 PROVIDENCE RD SUITE 80
VIRGINIA BEACH, VA 23464-4128
Phone number: 757-467-1900
Mailing Address
Mr. RANDY EARL WANTTAJA M.A., C.C.C.-S.L.P.
5301 PROVIDENCE RD SUITE 80
VIRGINIA BEACH, VA 23464-4128
Phone number: 757-467-1900
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