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Individual

MR. MAXIMINO TZONTLIMATZI JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CASE MANAGER

Contact information

Practice address
100 W GRIGGS AVE, LAS CRUCES, NM 88001
(575) 647-2800
(575) 647-2898
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41031041
NM
Enumeration date
04/19/2013
Last updated
08/28/2018
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