Organization
IGROW THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE N VIGIL MS, CCC-SLP (SPEECH AND LANGUAGE PATHOLOGIST)
(505) 328-8996
Entity
Organization
Contact information
Practice address
1245 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4065
(505) 328-8996
(505) 877-7172
Mailing address
1245 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4065
(505) 328-8996
(505) 877-7172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3270
NM
Other
Enumeration date
12/11/2010
Last updated
03/02/2015
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