Individual
MS. GAIL ANN NIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
224 N CAMINO DEL PUEBLO, BERNALILLO, NM 87004-6146
(505) 404-5376
Mailing address
907 GREEN ACRE PL NW, ALBUQUERQUE, NM 87104
(505) 842-1366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1556
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L4664
—
NM
Enumeration date
01/19/2007
Last updated
07/08/2007
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