SAMUEL SO

PEORIA, AZ
NPI1356106538
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  1356106538)
Enumeration Date2024-02-16
Last Update Date2024-07-10
Business Address
SAMUEL SO
20470 N LAKE PLEASANT RD STE 107
PEORIA, AZ 85382-9708
Phone number: 623-248-3324
Mailing Address
SAMUEL SO
7435 W TRAILS DR
GLENDALE, AZ 85308-9602
Phone number: