CARA E PENCAK

PHOENIX, AZ
NPI1558917138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  TSLP12480)
Enumeration Date2019-08-10
Last Update Date2020-07-16
Business Address
CARA E PENCAK
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-277-5551
Mailing Address
CARA E PENCAK
2976 E SANTA FE LN
GILBERT, AZ 85297-6026
Phone number: 480-319-5073