Individual
CONSUELO SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
714 CALLE DON DIEGO, ESPANOLA PUBLIC SCHOOL DISTRICT, ESPANOLA, NM 87532-3414
(505) 927-4980
Mailing address
PO BOX 421, ALCALDE, NM 87511-0421
(505) 927-4980
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3364
NM
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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