Individual
JOSE CRUZ ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
72 GAIL HARRIS ST, ROSWELL, NM 88203-8116
(575) 347-3410
(575) 347-5177
Mailing address
3210 W BLAND ST, ROSWELL, NM 88203-1279
(575) 840-5911
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-11685
NM
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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