Organization
AMISTAD CHILDREN'S THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD FLORES (OWNER)
(575) 636-7897
Entity
Organization
Contact information
Practice address
3100 OAK ST, LAS CRUCES, NM 88005-3425
(575) 636-7897
Mailing address
3100 OAK ST, LAS CRUCES, NM 88005-3425
(575) 636-7897
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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