Individual
MARIO SOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 S MAIN ST, BLDG B STE 20, LAS CRUCES, NM 88005-2917
(505) 525-5635
(505) 647-8804
Mailing address
1100 S MAIN ST, BLDG B STE 20, LAS CRUCES, NM 88005-2917
(505) 525-5635
(505) 647-8804
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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