NPI 1003564162
Charronda Willoughby
Practice location
- Address
- 9057 N 98th Ave, Peoria, AZ 85345-3730
- Phone
- (208) 971-9543
Registered specialties
Speech-Language Assistant
Primary
Registry record
- NPI
- 1003564162
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Mar 2022
- Record last updated
- 16 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.