Individual
RENE B VANDENBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5200 COPPER AVE NE, ALBUQUERQUE, NM 87108-1473
(505) 255-5099
Mailing address
5200 COPPER AVE NE, ALBUQUERQUE, NM 87108-1473
(505) 255-5099
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3293
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37707302
—
NM
Enumeration date
09/17/2006
Last updated
05/12/2010
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