Individual
MARISSA TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 SAN ANTONIO DR NE UNIT 4202, ALBUQUERQUE, NM 87109-4146
(505) 804-8488
Mailing address
6501 SAN ANTONIO DR NE UNIT 4202, ALBUQUERQUE, NM 87109-4146
(505) 804-8488
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP22039
NM
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/28/2018
Last updated
07/08/2025
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