Individual
MS. MARIA JOSE IGLESIAS-CORRAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2135 PAYNE ST, APT 306, LAS CRUCES, NM 88001-5886
(575) 520-9345
Mailing address
2135 PAYNE ST APT 306, APT 306, LAS CRUCES, NM 88001-5889
(575) 520-9345
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4982
NM
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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