Individual
MS. MANUELA HELENA MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1830 LILLIE DR, BOSQUE FARMS, NM 87068-9089
(505) 730-7706
Mailing address
1830 LILLIE DR, BOSQUE FARMS, NM 87068-9089
(505) 730-7706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1285
NM
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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