Organization
YUCCA THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA TRUJILLO M.A., CCC-SLP (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
(575) 496-0899
Entity
Organization
Contact information
Practice address
211 BLUE SKY LN, MESILLA PARK, NM 88047-9751
(575) 496-0899
(575) 377-8373
Mailing address
211 BLUE SKY LN, MESILLA PARK, NM 88047-9751
(575) 496-0899
(575) 377-8373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I3577
NM
235Z00000X
Speech-Language Pathologist
1769
NM
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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