Individual
MR. ELDON EMBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 E. 21ST ST., SUITE D, CLOVIS, NM 88101-4443
(505) 762-0212
Mailing address
921 E. 21ST ST., SUITE D, CLOVIS, NM 88101-4443
(505) 762-0212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0109931
NM
Other
Enumeration date
02/12/2008
Last updated
02/21/2008
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