Individual
HEATHER L VEZINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(505) 523-7243
(505) 523-7254
Mailing address
1941 MAHOGANY DR, LAS CRUCES, NM 88001-2451
(505) 523-7243
(505) 523-7254
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2937
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39789331
—
NM
Enumeration date
11/15/2006
Last updated
07/09/2007
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