Individual
MRS. RACHEL DAVINA KUBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4712
Mailing address
2336 OAKHAM DR NW, ALBUQUERQUE, NM 87120-6167
(505) 220-6149
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2450
NM
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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