Individual
DEANA EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 ENCINO PL NE STE E1, ALBUQUERQUE, NM 87102-2645
(505) 238-2679
Mailing address
801 ENCINO PL NE STE E1, ALBUQUERQUE, NM 87102-2645
(505) 238-2679
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/21/2022
Last updated
03/29/2022
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