Individual
WYNEMA M PUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
835 E LAS CRUCES AVE, LAS CRUCES, NM 88001-2875
(575) 639-4581
Mailing address
835 E LAS CRUCES AVE, LAS CRUCES, NM 88001-2875
(575) 639-4581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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