Individual
TANYA MINGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 COMERCIANTES BLVD, SANTA TERESA, NM 88008-9669
(575) 589-1676
Mailing address
PO BOX 70, MEDICAID SERVICES, ANTHONY, NM 88021
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
55601
NM
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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