Individual
GERRY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 S. SOLANO, LAS CRUCES, NM 88001
(575) 571-4710
Mailing address
1320 S. SOLANO, LAS CRUCES, NM 88001
(575) 571-4710
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/11/2014
Last updated
04/11/2014
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