Individual
MR. JOSHUA REX VANDERHOOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 VISTA REAL DR, TRL 46, LAS CRUCES, NM 88007-7803
(575) 635-6916
Mailing address
5300 VISTA REAL DR, TRL 46, LAS CRUCES, NM 88007-7803
(575) 635-6916
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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