Individual
MRS. KIMBERLY BRANCH CENICEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4216 BALLOON PARK RD NE, ALBUQUERQUE, NM 87109-5801
(505) 344-5470
(505) 344-9343
Mailing address
1904 NANCY LOPEZ BLVD, BELEN, NM 87002-7056
(505) 803-0959
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4210
NM
Other
Enumeration date
10/18/2007
Last updated
08/15/2012
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