Jaime Gayle Fesuk

NPI 1386860120 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1386860120
Gender Female
Enumeration Date 04/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
146 S GRANITE ST
PRESCOTT AZ, 86303-4710, US
Phone (928) 445-5400
Fax
Business Location
1998 PRESCOTT LAKES PARKWAY
#141
PRESCOTT AZ, 86301-7825, US
Phone (928) 830-0052
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Arizona
License Number SLPL4197
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According to our database, Mrs. Jaime Gayle Fesuk NPI is 1386860120, taxonomy code is 235Z00000X and license number is SLPL4197, license state is located at Arizona. Jaime Gayle Fesuk physically located at 146 S Granite St, Prescott AZ, 86303-4710. NPI Number Jaime Gayle Fesuk has the Individual type.

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1386860120 NPI number is provided on an as is basis without warranty of any kind. 1386860120 is maintained by the National Plan & Provider Enumeration System. The contents of Jaime Gayle Fesuk are for informational purposes only.