Individual
MS. QUELLA NICOLE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-CLP
Contact information
Practice address
4505 BALI CT NE, ALBUQUERQUE, NM 87111-2801
(505) 264-3102
Mailing address
6720 BUTTE VOLCANO RD NW, ALBUQUERQUE, NM 87120-1431
(505) 920-7979
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3834
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68704551
—
NM
Enumeration date
01/18/2007
Last updated
07/08/2007
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