Individual
NICOLE PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(575) 769-4490
Mailing address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(575) 769-4490
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF7332
NM
Other
Enumeration date
12/16/2015
Last updated
03/19/2021
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