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Individual

BRIANNA ISABEL BAYARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
454 CORONADO ST NE, LOS LUNAS, NM 87031-8709
(505) 866-0456
Mailing address
1804 VIA DEL SOL NE, ALBUQUERQUE, NM 87110-4958
(505) 500-5463

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF7502

Other

Enumeration date
09/23/2021
Last updated
09/23/2021
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