Individual
RICHARD ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 S MAIN ST, SUITE 20, LAS CRUCES, NM 88005-2917
(505) 496-6134
Mailing address
1100 S. MAIN, SUITE 20, LAS CRUCES, NM 88005-0000
(505) 496-6134
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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