Individual
JEREMY JOHN GIANNINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
2410 19TH ST SE, RIO RANCHO, NM 87124-4857
(505) 452-4200
Mailing address
2410 19TH ST SE, RIO RANCHO, NM 87124-4857
(505) 452-4200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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