Individual
MR. JEREMY JAMES BALDILLEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 OAK ST, LAS CRUCES, NM 88005-3425
(575) 323-3354
(575) 523-3354
Mailing address
505 S MAIN ST, STE 249, LAS CRUCES, NM 88001-1206
(505) 527-5823
(505) 527-5886
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
275299
NM
Other
Enumeration date
10/11/2007
Last updated
04/21/2017
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