Individual
GAIL G EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
11306 RICHFIELD AVE NE, ALBUQUERQUE, NM 87122-4188
(505) 797-1952
Mailing address
PO BOX 70, CORRALES, NM 87048-0070
(505) 898-3295
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1367
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000L5925
—
NM
Enumeration date
11/25/2006
Last updated
07/08/2007
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