Individual
CAMILLE K NOLASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SPEECH-LANGUAGE
Contact information
Practice address
1316 MANZANO ST NE, ALBUQUERQUE, NM 87110-5017
(970) 471-5212
Mailing address
1316 MANZANO ST NE, ALBUQUERQUE, NM 87110-5017
(970) 471-5212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF6445
NM
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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