Individual
SANDI MARIE MAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 526-6682
Mailing address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 652-3155
(575) 652-4104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4344
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4344
LICENSE
NM
Enumeration date
04/29/2009
Last updated
06/07/2017
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