Individual
DANA L HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(505) 769-4490
(505) 935-0011
Mailing address
1821 JONQUIL PARK DR, CLOVIS, NM 88101-3948
(505) 769-2500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3062
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32976356
—
NM
Enumeration date
11/07/2006
Last updated
07/08/2007
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