Individual
DARA JARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
941 WATERFALL DR NE, RIO RANCHO, NM 87144-3711
(505) 256-5142
Mailing address
941 WATERFALL DR NE, RIO RANCHO, NM 87144-3711
(505) 256-5142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3963
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80389562
—
NM
Enumeration date
04/19/2007
Last updated
10/15/2009
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