Individual
CORY EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
199 WHITE MOUNTAIN DR, RUIDOSO, NM 88345
(575) 258-9494
Mailing address
PO BOX 1294, CAPITAN, NM 88316-1294
(575) 973-2396
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAH-2024-0298
NM
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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