Individual
RAPHAEL DIAZ-MALPICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 556-7600
Mailing address
801 LUNA DR UNIT 1, CHAPARRAL, NM 88081-7691
(915) 206-8322
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-395
WI
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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