Organization
BOLD BEGINNINGS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA J ROMERO-MOORE SLP (OWNER)
(505) 463-1874
Entity
Organization
Contact information
Practice address
75 ROMERO ROAD, LOS LUNAS, NM 87031
(505) 463-1874
Mailing address
PO BOX 218, TOME, NM 87060-0218
(505) 463-1874
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5495
NM
Other
Enumeration date
08/09/2010
Last updated
03/06/2017
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