Amistad Milestones LLC
NPI #1235579137 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1235579137
- Entity Type
- Organization
- Organization Name
- Amistad Milestones LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jun 25, 2013
- Last Updated
- Jun 25, 2013
Practice Location
- Address
- 3100 OAK ST
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88005-3769
- Phone
- (575) 523-2288
Authorized Official
- Name
- SCOTT BANNISTER
- Title
- REGISTERED AGENT/OWNER
- Phone
- (575) 642-7268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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