Individual
MS. MARGO G BENCOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 VALVERDE LOOP, LAS CRUCES, NM 88012-8550
(575) 525-2337
(575) 525-2337
Mailing address
3325 VALVERDE LOOP, LAS CRUCES, NM 88012-8550
(575) 525-2337
(575) 525-2337
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
008272158
NM
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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