CIARA FOUST

PORTALES, NM
NPI1013380161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NM  5895)
Enumeration Date2015-11-10
Last Update Date2015-11-10
Business Address
-- CIARA FOUST
501 S ABILENE AVE
PORTALES, NM 88130-6380
Phone number: 575-359-3707
Mailing Address
-- CIARA FOUST
PO BOX 847
PORTALES, NM 88130-0847
Phone number: 575-562-4458