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Individual

ROSA HILDA ARRIETA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
343 MAIN ST NW, LOS LUNAS, NM 87031-8712
(505) 866-2440
Mailing address
213 WITTWER CT NW, LOS LUNAS, NM 87031-8438
(505) 620-3428

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
265444
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
94759006
NM
Enumeration date
01/08/2007
Last updated
07/08/2007
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