Individual
WENDY GEISLER FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 LASER RD NE, RIO RANCHO, NM 87124-4517
(505) 892-0667
Mailing address
500 LASER RD NE, RIO RANCHO, NM 87124-4517
(505) 892-0667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF6980
NM
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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