Individual
MRS. MARLANE DIEMER PARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2445 MISSOURI AVE, SUITE A, LAS CRUCES, NM 88001-5111
(505) 523-8080
(505) 523-8861
Mailing address
3101 BOWMAN ST, LAS CRUCES, NM 88005-7709
(505) 525-0970
(505) 523-8861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
010
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM00E377
BCBS
NM
01
—
PROVP15463
MOLINA HEALTH PLAN
NM
Enumeration date
08/05/2006
Last updated
07/08/2007
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