Individual
MRS. NICOLE RENAE HAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
500 LASER DR NE, RIO RANCHO, NM 87124-4517
(505) 994-4609
Mailing address
500 LASER DR NE, RIO RANCHO, NM 87124-4517
(505) 994-4609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4374
NM
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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