Individual
MS. CHERYL LEA OELZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
US HWY 64 OLD HIGH SCHOOL ROAD, SHIPROCK, NM 87420
(505) 368-5163
(505) 368-5502
Mailing address
5704 FAWN DR, FARMINGTON, NM 87402-4920
(505) 564-3718
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1398
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K2546
—
NM
Enumeration date
03/14/2007
Last updated
07/08/2007
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