Individual
JAZZMIN ZAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
661 QUANTUM RD NE STE 1, RIO RANCHO, NM 87124-4505
(505) 554-0052
Mailing address
661 QUANTUM RD NE STE 1, RIO RANCHO, NM 87124-4505
(505) 554-0052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF7411
NM
Other
Enumeration date
02/26/2019
Last updated
03/04/2022
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