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NPI Code Detail

MEDICARE: ALEJANDRA IRENE HEREDIA

MEDICARE: ALEJANDRA IRENE HEREDIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language Assistant
22355S0801XSpeech-Language AssistantSLPA13798AZ

General Provider Information

NPI Number : 1194456921
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRA IRENE HEREDIA
Provider Business Mailing Address
First Line : 2002 E FORT LOWELL RD UNIT 6223
Second Line :
City : TUCSON
State : AZ
Zip : 85719-2485
Country : US
Telephone Number : 520-470-9803
Fax Number :
Provider Business Practice Location Address
First Line : 2002 E FORT LOWELL RD UNIT 6223
Second Line :
City : TUCSON
State : AZ
Zip : 85719-2485
Country : US
Telephone Number : 520-470-9803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2022
Last Update Date : 06/22/2022

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Directions to “ ALEJANDRA IRENE HEREDIA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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