THOMAS MATTHEW TICE

RIO RANCHO, NM
NPI1194948257
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NM  1623)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
-- THOMAS MATTHEW TICE MA
500 LASER DR NE
RIO RANCHO, NM 87124-4517
Phone number: 505-896-0667
Mailing Address
-- THOMAS MATTHEW TICE MA
5732 RIO OSO DR NE
RIO RANCHO, NM 87144-4703
Phone number: 505-892-3077
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