Individual
OMAR FERCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5400 MESA GRANDE AVE, LAS CRUCES, NM 88011
(575) 527-9430
Mailing address
5400 MESA GRANDE AVE, LAS CRUCES, NM 88011
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
487
NM
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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