Individual
MS. BRENDA LEE MACHAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1000 E AZTEC AVE, GALLUP, NM 87301-5509
(505) 721-1800
(505) 721-1899
Mailing address
PO BOX 1177, FORT DEFIANCE, AZ 86504-1177
(505) 777-2507
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3476
NM
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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