TERRI NIALS BACA

PORTTALES, NM
NPI1568553717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NM  1176)
Enumeration Date2006-09-27
Last Update Date2020-02-03
Business Address
Mrs. TERRI NIALS BACA MS CCC SLP
1500 S. AVE K REGIONAL EDUCATION COOPERATIVE 6
PORTTALES, NM 88130
Phone number: 575-562-4455
Mailing Address
Mrs. TERRI NIALS BACA MS CCC SLP
1500 S AVENUE K
PORTALES, NM 88130-7400
Phone number: 575-562-4455