Individual
JOVANNA ENCINIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S DIAMOND AVE, DEMING, NM 88030-4710
(575) 642-1366
Mailing address
405 N DATE ST STE 8, TRUTH OR CONSEQUENCES, NM 87901-2378
(575) 642-1366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4787
NM
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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