Individual
JULIANNA TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SAN PEDRO DR SE # 126, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
7 ESQUINA RD, SANTA FE, NM 87508-9172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NM
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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