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Individual

ANIA PARCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
2455 MISSOURI AVE STE B, LAS CRUCES, NM 88001-5122
(575) 556-8440
(575) 556-8439
Mailing address
4039 LA PURISIMA DR, LAS CRUCES, NM 88011-4170
(575) 556-8440
(575) 556-8439

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3931
NM

Other

Enumeration date
01/10/2011
Last updated
01/10/2011
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