Individual
FEDORA MONTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11403 LOKI ST, WHITE SANDS, NM 88002-1125
(254) 392-0495
Mailing address
11403 LOKI ST, WHITE SANDS, NM 88002-1125
(254) 392-0495
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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