Individual
MRS. BRANDI DAWN DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
315 S HUDSON ST, SILVER CITY, NM 88061-6184
(575) 388-4497
(575) 534-1150
Mailing address
PO BOX 1349, SILVER CITY, NM 88062-1349
(575) 388-4497
(575) 534-1150
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R52933
NM
Other
Enumeration date
04/26/2011
Last updated
02/05/2013
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