Individual
DORIS SHENUSKI-ZETOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3211 MONTE VISTA BLVD NE, MONTE VISTA ES, ALBUQUERQUE, NM 87106-2119
(505) 268-3520
Mailing address
3211 MONTE VISTA BLVD NE, MONTE VISTA ES, ALBUQUERQUE, NM 87106-2119
(505) 268-3520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1377
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K 9516
—
NM
Enumeration date
03/07/2007
Last updated
07/09/2007
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