Individual
JULIA HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-2444
Mailing address
1200 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-2444
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
035427155
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM0280761
CARE MANAGER/CASE COORDINATOOR
NM
05
—
NM0280761
—
NM
Enumeration date
03/30/2017
Last updated
03/30/2017
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