Individual
MARCO ANTHONY ROBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 S SOLANO DR, LAS CRUCES, NM 88001-3758
(575) 202-9336
Mailing address
1320 S SOLANO DR, LAS CRUCES, NM 88001-3758
(575) 202-9336
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
110124732
NM
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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