Provider First Line Business Practice Location Address:
4811 A HARDWARE DRIVE NE
Provider Second Line Business Practice Location Address:
ENCHANTMENT SPEECH LANGUAGE PATHOLOGY SERVICES
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87109-2021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-263-6004
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2006