Individual
MISS MELISSA SUSAN MIERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2032 ROSE LN, LAS CRUCES, NM 88005-1456
(575) 525-6655
(575) 525-6655
Mailing address
2032 ROSE LN, LAS CRUCES, NM 88005-1456
(575) 525-6655
(575) 525-6655
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6903
NM
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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