Individual
YESENIA PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E LISA DR, CHAPARRAL, NM 88081-7927
(575) 824-4722
Mailing address
PO DRAWER 70, ANTHONY, NM 88021
(575) 882-6101
(575) 882-6926
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-6098
NM
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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