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Individual

SAMANTHA PALOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
255 HIGHWAY 187, HATCH, NM 87937-7001
(575) 267-3088
(575) 267-4565
Mailing address
832A MOUNTAIN LAUREL CIR SE, ALBUQUERQUE, NM 87116-1249
(575) 635-3833

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
C-4917
NM
363A00000X
Physician Assistant
Primary
PA2023-0300
NM
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/14/2011
Last updated
01/31/2024
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