Individual
JENNIFER G LABRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 DONALDSON AVE, ANTHONY, NM 88021-8103
(575) 662-6000
Mailing address
PO BOX 70, MEDICAID SERVICES, ANTHONY, NM 88021
(575) 882-6101
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6663
NM
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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