TRACEY POFFENROTH PRATO

TAOS, NM
NPI1609146315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NM  3261)
Enumeration Date2012-01-11
Last Update Date2023-12-22
Business Address
TRACEY POFFENROTH PRATO SLP
208 PASEO DEL PUEBLO SUR UNIT 104
TAOS, NM 87571-5931
Phone number: 505-514-2588
Mailing Address
TRACEY POFFENROTH PRATO SLP
PO BOX 3861
TAOS, NM 87571-3861
Phone number: