Individual
SERINA BAILON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 NM-22, PENA BLANCA, NM 87041
(505) 983-6158
Mailing address
PO BOX 449, TESUQUE, NM 87574-0449
(505) 983-6158
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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