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Individual

MR. PATRICK MAESTAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.A.

Contact information

Practice address
1625 SPRUCE AVE SPC 54, LAS CRUCES, NM 88001-2467
(575) 650-5550
Mailing address
1625 SPRUCE AVE SPC 54, LAS CRUCES, NM 88001-2467
(575) 650-5550

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
03/11/2010
Last updated
03/11/2010
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