Individual
SILVIA JACQUEZ-ACHAVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 8TH ST NW, DEMING, NM 88030-8366
(575) 635-5067
Mailing address
1910 8TH ST NW, DEMING, NM 88030-8366
(575) 635-5067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5134
NM
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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