ANDREA JENNYS SUSTACHE MEDINA

FORT WORTH, TX
NPI1770222028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  117625)
Enumeration Date2022-06-02
Last Update Date2022-06-02
Business Address
ANDREA JENNYS SUSTACHE MEDINA
3813 PERIWINKLE DR
FORT WORTH, TX 76137-6046
Phone number: 787-983-4456
Mailing Address
ANDREA JENNYS SUSTACHE MEDINA
3813 PERIWINKLE DR
FORT WORTH, TX 76137-6046
Phone number: 787-983-4456
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