Individual
MIRIAM EDITH TARANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
406 CAMBRIDGE AVE, HAGERMAN, NM 88232-9610
(575) 637-1912
Mailing address
305 FAIRVIEW AVE, HAGERMAN, NM 88232-9783
(575) 637-1912
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SAH-2024-0272
NM
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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