Organization
MIDWAY YOUTH AND FAMILY DEVELOPMENT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY SONS (PRESIDENT)
(575) 347-5309
Entity
Organization
Contact information
Practice address
75 YAKIMA RD, DEXTER, NM 88230-9757
(575) 347-5309
(575) 347-5753
Mailing address
75 YAKIMA RD, DEXTER, NM 88230-9757
(575) 347-5309
(575) 347-5753
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
11/30/2011
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