TARA BLANCO

LAS CRUCES, NM
NPI1881095255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NM  6194)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: TX  109007)
Enumeration Date2014-09-04
Last Update Date2022-07-21
Business Address
-- TARA BLANCO
505 S MAIN ST STE 249
LAS CRUCES, NM 88001-1243
Phone number: 575-527-5823
Mailing Address
-- TARA BLANCO
505 S MAIN ST STE 249
LAS CRUCES, NM 88001-1243
Phone number: 575-527-5823