Individual
BRENDA J TANUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
28 PANTHER PARKWAY N HIGHWAY 63, PECOS, NM 87552
(505) 622-3100
(877) 553-1272
Mailing address
117 CAMINO DE VIDA STE 300, SANTA ROSA, NM 88435-2267
(575) 472-4311
(877) 651-0289
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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