Individual
MELISSA PAULETTE VIGIL-MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 INDUSTRIAL PARK RD, ESPANOLA, NM 87532-3453
(505) 753-3143
(505) 753-1769
Mailing address
1122 INDUSTRIAL PARK RD, ESPANOLA, NM 87532-3453
(505) 753-3143
(505) 753-1769
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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