Individual
GABRIELLE DURYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8501 HWY 4, JEMEZ PUEBLO, NM 87024
(575) 834-7391
Mailing address
8501 HWY 4, JEMEZ PUEBLO, NM 87024
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAH-2024-0204
NM
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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