Individual
BLANCA M MORALES-PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4351 E LOHMAN AVE, LAS CRUCES, NM 88011-8259
(575) 556-6621
Mailing address
4351 E LOHMAN AVE, LAS CRUCES, NM 88011-8259
(575) 556-6621
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
313
NM
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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