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Individual

TIFFANY LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CHW

Contact information

Practice address
300 S DIAMOND AVE, DEMING, NM 88030-3752
(575) 546-4663
(505) 443-8331
Mailing address
300 S DIAMOND AVE, DEMING, NM 88030-3752
(575) 546-4663
(505) 443-8331

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
04/08/2025
Last updated
04/08/2025
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