Individual
BLANCA RAMOS-GAONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W HICKORY ST, DEMING, NM 88030-4046
(575) 546-2174
Mailing address
901 W HICKORY ST, DEMING, NM 88030-4046
(575) 546-2174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
X-09470
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/05/2015
Last updated
03/22/2016
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