Individual
CRYSTAL NICOLE GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 10TH ST STE C, ALAMOGORDO, NM 88310-6402
(575) 437-8964
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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