Individual provider · Type 1 NPI

Sierra Pancho

Speech-Language Assistant · Buckeye, AZ

NPI number 1891332045 Active

Practice location

25555 W Durango St
Buckeye, AZ 85326-9176

Call (623) 925-3400 Map

Mailing address

949 S Goodyear Blvd E Apt 107
Goodyear, AZ 85338-4945

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XSLPA12080 (AZ)

Speech-Language Assistant: Definition to come...

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About NPI 1891332045

Sierra Pancho's National Provider Identifier is 1891332045, issued on Dec 6, 2019. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Buckeye, AZ. The record was last updated on Dec 6, 2019.