Individual
EMILY KIERST REIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5006 COPPER AVE NE, ALBUQUERQUE, NM 87108-1301
(505) 268-7988
Mailing address
313 MANZANO ST NE, ALBUQUERQUE, NM 87108-1308
(505) 321-1412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7024
NM
Other
Enumeration date
07/05/2016
Last updated
05/11/2022
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