Individual
MRS. MICHELLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 CHURCH ROCK ST, GALLUP, NM 87301-4572
(505) 722-2261
Mailing address
3720 CHURCH ROCK ST, GALLUP, NM 87301-4572
(505) 722-2261
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPCF22001
NM
Other
Enumeration date
10/24/2022
Last updated
11/03/2022
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