Individual
ANGELIQUE R. MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 S HUDSON ST, SILVER CITY, NM 88061-6184
(575) 388-4497
(575) 534-1150
Mailing address
PO BOX 1349, SILVER CITY, NM 88062-1349
(575) 388-4497
(575) 534-1150
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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