Individual
AMY MARIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1318 E 32ND ST, SILVER CITY, NM 88061-7252
(575) 388-4412
(575) 597-2809
Mailing address
HIDALGO MEDICAL SERVICES, 530 DEMOSS ST, LORDSBURG, NM 88045
(575) 542-2369
(575) 542-2388
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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