Individual
ALISAH DE LA O
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-6093
(575) 527-5886
Mailing address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-6093
(575) 527-5886
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAH-2023-0220
NM
Other
Enumeration date
01/11/2024
Last updated
09/18/2025
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