Individual
SARA ELIASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
726 APACHE AVE APT 1, RATON, NM 87740-4059
(505) 334-3695
Mailing address
726 APACHE AVE APT 1, RATON, NM 87740-4059
(505) 334-3695
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5892
NM
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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