Individual
TESLA RAE AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4042 NM-90, SILVER CITY, NM 88061
(575) 956-2170
Mailing address
401 E LANCE DR, SILVER CITY, NM 88061-6628
(575) 680-0584
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
SWB-2024-0573
NM
Other
Enumeration date
08/12/2024
Last updated
08/29/2024
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