Individual
MARY DELAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 PAINT TRAIL, ELEPHANT BUTTE, NM 87935
(575) 267-8290
Mailing address
108 PAINT TRAIL, ELEPHANT BUTTE, NM 87935
(575) 267-8290
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5184
NM
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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