Individual
MRS. BRENDA LANETTE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
343 MAIN ST NW, LOS LUNAS, NM 87031-8712
(505) 866-2440
Mailing address
PO BOX 943, BELEN, NM 87002-0943
(505) 864-8909
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2163
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q6951
—
NM
Enumeration date
01/08/2007
Last updated
07/09/2007
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