Individual
TANIA A RAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 LASER RD NE, RIO RANCHO, NM 87124
(505) 896-0667
Mailing address
500 LASER RD NE, RIO RANCHO, NM 87124-4517
(505) 896-0667
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
X-10269
NM
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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