Marianne Candelaria
Speech-Language Pathologist, in Los Lunas, NM. Individual provider (NPI-1).
NPI number1639402423
StatusActive
Last updated in NPPESSep 10, 2009
Details
- NPI
- 1639402423
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Marianne Candelaria
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 10, 2009
- Last updated
- Sep 10, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | C-4607 | NM | Yes |
Practice location
343 Main St. SeLos Lunas, NM 87031
Phone 505-866-8340
Mailing address
1836 Applewood LnLos Lunas, NM 87031-8617
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