Individual
MIA RENE DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
301 PERKINS DR STE C, LAS CRUCES, NM 88005-3248
(575) 523-7243
(575) 525-5641
Mailing address
301 PERKINS DR STE C, LAS CRUCES, NM 88005-3248
(575) 523-7243
(575) 525-5641
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3942
NM
Other
Enumeration date
12/11/2006
Last updated
10/30/2008
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