LISA BONAHOOM

ALBUQUERQUE, NM
NPI1962690172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  C-4234)
Enumeration Date2007-10-12
Last Update Date2007-10-12
Business Address
-- LISA BONAHOOM
5200 COPPER AVE NE
ALBUQUERQUE, NM 87108-1473
Phone number: 505-255-5099
Mailing Address
-- LISA BONAHOOM
5200 COPPER AVE NE
ALBUQUERQUE, NM 87108-1473
Phone number: 505-255-5099
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