Individual
JOSE CAZALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A
Contact information
Practice address
505 S MAIN ST STE 249, LAS CRUCES PUBLIC SCHOOLS, LAS CRUCES, NM 88001
(575) 805-1137
Mailing address
2049 S TRIVIZ DR APT E17, LAS CRUCES, NM 88001-5895
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4812
NM
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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