Individual
SUSANA MEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 HICKORY LOOP, LAS CRUCES, NM 88005-6587
(575) 652-3155
Mailing address
PO BOX 93, ARREY, NM 87930-0093
(575) 740-0586
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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