LISA JENNIFER DE LOS SANTOS

PHOENIX, AZ
NPI1619525631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  TSLP11941)
Enumeration Date2019-09-03
Last Update Date2019-09-03
Business Address
LISA JENNIFER DE LOS SANTOS
2302 N 15TH AVE
PHOENIX, AZ 85007-1201
Phone number: 623-242-6908
Mailing Address
LISA JENNIFER DE LOS SANTOS
14557 W INDIAN SCHOOL RD STE 500
GOODYEAR, AZ 85395-9218
Phone number: 623-242-6908