Individual
MICHELLE DE LA O
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
575 S ALAMEDA BLVD, LAS CRUCES, NM 88005-2818
(575) 528-6400
(575) 521-7199
Mailing address
385 CALLE DE ALEGRA BLDG A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-1854
NM
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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