Individual
ANGELO PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(575) 623-1480
(575) 622-3325
Mailing address
PO BOX 1978, ROSWELL, NM 88202-1978
(575) 623-1480
(575) 622-3325
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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