Individual
JULIO CESAR FERMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
300 S DIAMOND AVE, DEMING, NM 88030-3752
(575) 546-2174
Mailing address
901 W HICKORY ST, DEMING, NM 88030-4046
(575) 546-2174
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN-76601
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
58948
NM
Other
Enumeration date
12/29/2019
Last updated
05/30/2024
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