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Individual

DAISY LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1350 HILLRISE CIR, LAS CRUCES, NM 88011-4759
(575) 522-9500
(575) 523-1108
Mailing address
105 COMERCIANTES BLVD APT 212, SANTA TERESA, NM 88008-9368
(575) 522-9500

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6852
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLP
SLP6852
NM
Enumeration date
02/27/2023
Last updated
02/27/2023
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