Individual
IRENE GRUNDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 526-6682
Mailing address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 526-6682
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4537
NM
Other
Enumeration date
04/29/2009
Last updated
02/21/2011
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