Organization
REGION IX EDUCATION COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN SANCHEZ (MEDICAID TECH)
(575) 937-2497
Entity
Organization
Contact information
Practice address
237 SERVICE RD, RUIDOSO, NM 88345-6063
(575) 257-2368
Mailing address
237 SERVICE RD, RUIDOSO, NM 88345-6063
(575) 257-2368
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
299611
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E7676
—
NM
Enumeration date
08/15/2014
Last updated
08/15/2014
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