Individual
CELESTE AVA ALANIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
603 W CHISUM AVE, ARTESIA, NM 88210-2024
(575) 915-2596
Mailing address
PO BOX 1064, ARTESIA, NM 88211-1064
(575) 915-2596
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-5338
NM
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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