| |
129 A Canal Street, Jemez Pueblo, NM 87024 | |
(575) 834-9168 | |
(575) 834-0238 |
Full Name | |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 129 A Canal Street, Jemez Pueblo, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104357003 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
---|---|
1 Burton Hills Blvd, Suite 250, Nashville, TN 37215-6293 Ph: (615) 296-3000 | 129 A Canal Street, Jemez Pueblo, NM 87024 Ph: (575) 834-9168 |
Gabrielle Duryea, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8501 Hwy 4, Jemez Pueblo, NM 87024 Phone: 575-834-7391 |