Individual
CHRISTEN LARAE CAVAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4405 JAGER DR NE, C-1, RIO RANCHO, NM 87144-5709
(505) 867-1442
(506) 867-1438
Mailing address
4405 JAGER DR NE, C-1, RIO RANCHO, NM 87144-5709
(505) 867-1442
(505) 867-1438
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 2504
NM
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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