Individual
MYA MARIE PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 N VALLEY DR, LAS CRUCES, NM 88007-5160
(575) 993-3266
Mailing address
1320 S SOLANO DR, LAS CRUCES, NM 88001-3758
(575) 522-4004
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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