Individual
MR. JOSE FABIO FLORES VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSP
Contact information
Practice address
2810 N SWAN ST, SILVER CITY, NM 88061-5853
(575) 956-2000
Mailing address
2810 N SWAN ST, SILVER CITY, NM 88061-5853
(575) 956-2041
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
338953
NM
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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