Individual
HOLLY M MONDRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 W CORDOVA RD, SANTA FE, NM 87505-1820
(877) 426-8095
Mailing address
PO BOX 94, ALCALDE, NM 87511-0094
(505) 927-9885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPCF23019
NM
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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