Organization
DESERT BLOOM SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELINA HERNANDEZ M.A., CCC-SLP (MEMBER)
(575) 640-4855
Entity
Organization
Contact information
Practice address
743 INDIAN HOLLOW RD, LAS CRUCES, NM 88011-8604
(575) 640-4855
Mailing address
743 INDIAN HOLLOW RD, LAS CRUCES, NM 88011-8604
(575) 640-4855
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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