Individual
JOANNA BALTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
390 CALLE DE ALEGRA, LAS CRUCES, NM 88005-3280
(575) 222-4589
Mailing address
390 CALLE DE ALEGRA, LAS CRUCES, NM 88005-3280
(575) 222-4589
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7026
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
NM
Enumeration date
01/26/2022
Last updated
01/26/2022
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