Individual
MARYANN THERESA CANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 ALERO CIR NE, RIO RANCHO, NM 87124-0808
(505) 891-1545
Mailing address
204 ALERO CIR NE, RIO RANCHO, NM 87124-0808
(505) 891-1545
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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