Individual
LEIGH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5701 CARMEL AVE NE STE B, ALBUQUERQUE, NM 87113-2843
(505) 821-1638
Mailing address
5701 CARMEL AVE NE STE B, ALBUQUERQUE, NM 87113-2843
(505) 821-1638
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-5624
NM
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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