Individual
JEAN SHERRI MIERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2557 CHESSMAN DR NE, RIO RANCHO, NM 87124-6517
(505) 480-9733
Mailing address
2557 CHESSMAN DR NE, RIO RANCHO, NM 87124-6517
(505) 480-9733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4801
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111111
—
NM
Enumeration date
10/19/2010
Last updated
10/19/2010
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