Individual
MISS DACIA RAQUEL PODRUCHNY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
4950 MCNUTT RD, SANTA TERESA, NM 88008-9621
(575) 882-6200
Mailing address
2921 VALLE VIS, LAS CRUCES, NM 88011-4824
(915) 433-6608
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAH-2025-0293
NM
Other
Enumeration date
01/19/2019
Last updated
09/04/2025
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