Individual
KRISANDRA K. WAMSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2810 N SWAN ST, SILVER CITY, NM 88061-5853
(575) 956-2040
Mailing address
2810 N SWAN ST, SILVER CITY, NM 88061-5853
(575) 956-2040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2441
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Z7312
—
NM
Enumeration date
03/14/2007
Last updated
02/26/2010
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