Individual
JEWANAH LAYESE TALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2261 ENTERPRISE DR, ALAMOSA, CO 81101-3603
(719) 589-5851
Mailing address
2261 ENTERPRISE DR, ALAMOSA, CO 81101-3603
(719) 589-5851
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24386901
CO
Other
Enumeration date
02/05/2024
Last updated
02/11/2024
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