Individual
ELIJIA BUENVIAJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC SLP
Contact information
Practice address
6400 UPTOWN BLVD NE STE 360W, ALBUQUERQUE, NM 87110-4202
(505) 855-9893
(505) 848-9468
Mailing address
PO BOX 25704, ALBUQUERQUE, NM 87125-0704
(505) 855-9893
(505) 848-9468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6257
NM
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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