Individual
NATALIE MOCTEZUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. CFY-SLP
Contact information
Practice address
610 ALTA VISTA ST, SANTA FE, NM 87505-4149
(505) 467-2000
Mailing address
4929 GLOBUS CT NW, ALBUQUERQUE, NM 87114-4309
(201) 674-4029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-5477
NM
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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