Individual
PATTI ELIASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4715 MOON ST NE, OSUNA ES, ALBUQUERQUE, NM 87111-2101
(505) 296-4811
Mailing address
4715 MOON ST NE, OSUNA ES, ALBUQUERQUE, NM 87111-2101
(505) 296-4811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
474
NM
Other
Enumeration date
01/31/2007
Last updated
07/09/2007
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