Individual
KATYA MEDINA MANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 W MADRID AVE APT 5, LAS CRUCES, NM 88005-1734
(563) 554-7441
Mailing address
255 W MADRID AVE APT 5, LAS CRUCES, NM 88005-1734
(563) 554-7441
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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