Individual
VIRGINIA DIRADDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10101 LAGRIMA DE ORO RD NE, ALBUQUERQUE, NM 87111-6022
(505) 298-1231
Mailing address
52 CHACO LOOP, SANDIA PARK, NM 87047-8511
(505) 610-3269
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2095
NM
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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