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: |