Individual
VENITA LUJAN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4210 LOUISIANA BLVD NE, SUITE A, ALBUQUERQUE, NM 87109-1807
(505) 259-5420
Mailing address
70 ISLETA DR, LOS ALAMOS, NM 87544-3702
(505) 672-3296
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
673
NM
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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