Individual
MS. DRUANNE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
527 SAGEBRUSH ROAD, QUESTA, NM 87556-0440
(505) 586-1604
Mailing address
PO BOX 956, EL PRADO, NM 87529-0956
(505) 770-2066
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3486
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T6536
—
NM
Enumeration date
01/30/2007
Last updated
07/09/2007
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