Individual
KIMBERLY K SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
454 CORONADO ST NE, LOS LUNAS, NM 87031-8709
(505) 866-0456
Mailing address
454 CORONADO ST NE, LOS LUNAS, NM 87031-8709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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