Individual
TASHINA B NEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 E 30TH ST STE A, FARMINGTON, NM 87402-8805
(505) 599-8617
(855) 290-2205
Mailing address
3401 E 30TH ST STE A, FARMINGTON, NM 87402-8805
(505) 599-8617
(855) 290-2205
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
SWB-2024-0615
NM
Other
Enumeration date
06/25/2014
Last updated
08/05/2024
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