Individual
GERARDO MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
880 S TELSHOR BLVD STE 202, LAS CRUCES, NM 88011-8601
(575) 339-1066
Mailing address
2280 TRAWOOD DR, EL PASO, TX 79935-3020
(915) 595-3535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5779
NM
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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