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Individual

RAFAEL IVAN PARRA TORRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2151 N MAIN ST, LAS CRUCES, NM 88001-1128
(915) 263-3715
Mailing address
2151 N MAIN ST, LAS CRUCES, NM 88001-1128
(915) 263-3715

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
16201
TX
111N00000X
Chiropractor
Primary
2024-0014
NM
246ZC0007X
Surgical Assistant
18-381
TX

Other

Enumeration date
09/29/2018
Last updated
11/27/2024
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