SHANNON ALYSE NIKULA

QUEEN CREEK, AZ
NPI1508323510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: AZ  SLPA11256)
Enumeration Date2019-02-26
Last Update Date2019-02-26
Business Address
SHANNON ALYSE NIKULA SLP-A
21168 E TIERRA GRANDE DR
QUEEN CREEK, AZ 85142-6767
Phone number: 702-817-3160
Mailing Address
SHANNON ALYSE NIKULA SLP-A
21168 E TIERRA GRANDE DR
QUEEN CREEK, AZ 85142-6767
Phone number: 702-817-3160