Individual
DANIELLA VIDAURRI HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3001 N THORNTON ST, CLOVIS, NM 88101
(575) 769-4545
Mailing address
3001 N THORNTON STREET, CLOVIS, NM 88101-9998
(575) 769-4545
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7790
NM
Other
Enumeration date
08/14/2014
Last updated
03/25/2024
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