Individual
MS. KATHLEEN BLANCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4950 MCNUTT ROAD, SUNLAND PARK, NM 88021
(505) 882-6200
(505) 882-6280
Mailing address
4950 MCNUTT ROAD, SUNLAND PARK, NM 88021
(505) 882-6200
(505) 882-6280
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C3227
NM
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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