Individual
ASHLEY DEANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 LOS LENTES ROAD NE, LOS LUNAS, NM 87031
(505) 974-5890
Mailing address
1455 REDONDO CT, LOS LUNAS, NM 87031-9058
(505) 573-3809
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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