Individual
MS. HERMINIA GUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2230 DONA ANA RD TRLR 3, LAS CRUCES, NM 88007-5292
(575) 373-7672
Mailing address
2230 DONA ANA RD TRLR 3, LAS CRUCES, NM 88007-5292
(575) 373-7672
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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