Individual
BEATRIZ ADRIANA PAREDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
125 CHAPARREL BLVD NW, DEMING, NM 88030-8629
(575) 546-4800
(575) 546-0685
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2319
OK
363A00000X
Physician Assistant
Primary
PA2016-0040
NM
363AM0700X
Medical Physician Assistant
2319
OK
363AS0400X
Surgical Physician Assistant
2319
OK
Other
Enumeration date
02/06/2014
Last updated
01/19/2017
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