Most Relevant Information
Provider Data
NPI Number: | 1003537952 |
Provider Name: | SAMANTHA VANCE SLP-CF |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | CF7805 |
Most Important Dates
Enumeration Date: | 09/08/2022 |
Last Updated: | 09/08/2022 |
Provider Practice Location
6400 UPTOWN BLVD NE STE 360
ALBUQUERQUE
NM
871104202
Practice Location Phone/Fax
Phone: | 5052999010 |
Fax: |
Provider Mailing Location
PO BOX 25704
ALBUQUERQUE
NM
871250704
Provider Mailing Phone/Fax
Phone: | |
Fax: |