Individual
EDITH S. MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 THORPE RD, LAS CRUCES, NM 88012-9776
(575) 382-9292
(575) 382-2061
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
03/31/2014
Last updated
10/29/2015
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