Individual
MELINDA JEAN GRIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 CALLE ESPINOSA AVE, ESPANOLA, NM 87532-3431
(505) 753-1128
Mailing address
116 CALLE ESPINOSA AVE, ESPANOLA, NM 87532-3431
(505) 753-1128
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4774
NM
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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