Organization
LAND OF ENCHANTMENT AUDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOBY ELIZABETH WILSON AU.D. (AUDIOLOGIST)
(505) 807-9805
Entity
Organization
Contact information
Practice address
264 S CAMINO DEL PUEBLO, BUILDING B, BERNALILLO, NM 87004-6070
(505) 807-9805
Mailing address
5901 WYOMING BLVD NE, STE J-124, ALBUQUERQUE, NM 87109-3838
(505) 807-9805
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
4526
NM
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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