Individual
RAEGAN BROMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 W WASHINGTON AVE, LOVINGTON, NM 88260-4023
(575) 739-2705
Mailing address
901 S MAIN AVE, LOVINGTON, NM 88260-4819
(575) 390-3461
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF7487
NM
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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