Individual
MRS. DAHLIA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
429 E OLIVE ST, DEMING, NM 88030-4747
(575) 546-4515
Mailing address
445 BUCKBOARD RD SW, DEMING, NM 88030-7928
(575) 494-5816
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-06284
NM
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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