Individual
JULIANA VICTORIA VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
576 N TELSHOR BLVD, LAS CRUCES, NM 88011-8223
(575) 515-0101
(505) 334-1999
Mailing address
7849 TRAMWAY BLVD NE STE A, ALBUQUERQUE, NM 87122-2529
(505) 895-9381
(505) 213-2958
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAH-2026-0057
NM
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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