Individual
CALANDRIA RENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
999 W AMADOR AVE STE A, LAS CRUCES, NM 88005-2739
(575) 527-5482
(575) 652-4243
Mailing address
PO BOX 2243, LAS CRUCES, NM 88004-2243
(575) 527-5482
(575) 652-4243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2017-0071
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1S2676
MEDICARE
NM
05
—
42172861
—
NM
Enumeration date
10/20/2017
Last updated
12/01/2022
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