LISA FERNANDO

SALT LAKE CITY, UT
NPI1861721813
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WA  ll60123974)
Enumeration Date2009-12-21
Last Update Date2009-12-21
Business Address
-- LISA FERNANDO
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
Mailing Address
-- LISA FERNANDO
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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