Individual
DANETTE J SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 N 2ND ST, RATON, NM 87740-3804
(575) 445-3557
(575) 445-2409
Mailing address
415 VERMEJO ST, RATON, NM 87740-3251
(575) 445-5644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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