Individual
KRISTINE GULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 HAWAII AVE, ALAMOGORDO, NM 88310-6437
(575) 812-6000
Mailing address
1211 HAWAII AVE, ALAMOGORDO, NM 88310-6437
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7049
NM
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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