Individual
JULIANA MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4950 MCNUTT RD, SANTA TERESA, NM 88063
(575) 882-6200
Mailing address
P.O. DRAWER 70, ANTHONY, NM 88021
(575) 882-6200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5236
NM
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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