Individual
MS. ROSELIA ANDUJO MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. SLP
Contact information
Practice address
900 CENTRAL, BAYARD, NM 88023
(505) 537-4030
(505) 537-3921
Mailing address
804 S 12TH ST, DEMING, NM 88030
(505) 494-7014
(505) 537-3921
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1715
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J7929
—
NM
Enumeration date
03/06/2007
Last updated
07/08/2007
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