EVA MAE BLAKELY

EDGEWOOD, NM
NPI1124568035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NM  6153)
Enumeration Date2017-02-27
Last Update Date2017-02-27
Business Address
-- EVA MAE BLAKELY MS/CCC-SLP
1090 MOUNTAIN VALLEY RD
EDGEWOOD, NM 87015-8044
Phone number: 505-281-1811
Mailing Address
-- EVA MAE BLAKELY MS/CCC-SLP
PO BOX 2225
EDGEWOOD, NM 87015-2225
Phone number: 505-281-1811