Individual
SUKY ESTALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 SOUTH MAIN, LAS CRUCES, NM 88001
(575) 646-2363
Mailing address
505 SOUTH MAIN, LAS CRUCES, NM 88001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5376
NM
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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