Individual
LOVELLA C MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
906 JUAN PEREA RD, LOS LUNAS, NM 87031-7778
(505) 866-7632
Mailing address
902 CALLE SIERRA VIS, ESPANOLA, NM 87532-3572
(662) 528-3879
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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