Individual
MATTHEW CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 MARSHALL ST, TRUTH OR CONSEQUENCES, NM 87901-6600
(575) 740-6174
Mailing address
18 CHAPAREL AVE, CABALLO, NM 87931-8000
(575) 740-6174
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
12/19/2023
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