NPI 1093533226

Jilda Fathima Nanan Chirakkal

Practitioner Speech-Language Assistant Puyallup, WA

Practice location

Address: 1501 39th Ave SW, Puyallup, WA 98373-3801
Phone: (253) 841-1301
Mailing address: 10411 SE 174th St APT 3440, Renton, WA 98055-5869

Registered specialties

Speech-Language Assistant Primary

Speech, Language and Hearing Service Providers Taxonomy 2355S0801X Licence SP61251972 (WA)

Other Specialist/Technologist providers in Washington →

Registry record

NPI: 1093533226
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2024
Record last updated: 27 Sep 2024

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.