Individual
DIOLA GARCIA V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N MAIN ST, BELEN, NM 87002-3720
(505) 966-1866
(505) 966-1865
Mailing address
520 N MAIN ST, BELEN, NM 87002-3720
(505) 966-1866
(505) 966-1865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3745
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38900238
—
NM
Enumeration date
09/11/2007
Last updated
09/11/2007
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