Individual
JANIS R ABEYTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7519 PRAIRIE RD NE, ALBUQUERQUE, NM 87109-1802
(505) 553-9560
Mailing address
7519 PRAIRIE RD NE, ALBUQUERQUE, NM 87109-1802
(505) 553-9560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3029
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9994
—
NM
Enumeration date
03/02/2007
Last updated
07/09/2007
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