Organization
SOUTHERN NEW MEXICO DIABETES OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SELENA GOMEZ (EXECUTIVE DIRECTOR)
(575) 522-0289
Entity
Organization
Contact information
Practice address
506 S MAIN ST STE 700, LAS CRUCES, NM 88001-1237
(575) 522-0289
Mailing address
506 S MAIN ST STE 700, LAS CRUCES, NM 88001-1237
(575) 522-0289
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
07/16/2025
Last updated
04/30/2026
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