Individual
BREANNA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 MONTGOMERY BLVD NE STE 215, ALBUQUERQUE, NM 87111-2579
(505) 247-4224
Mailing address
4801 IRVING BLVD NW UNIT 4803, ALBUQUERQUE, NM 87114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5812
NM
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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