Individual
ANGEL SALCIDO-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 7TH ST STE A, LAS VEGAS, NM 87701-4966
(505) 454-9611
(505) 454-8079
Mailing address
105 PASEO DEL CANON W STE A, TAOS, NM 87571-6943
(575) 737-5533
(575) 737-5534
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83774556
—
NM
Enumeration date
02/13/2023
Last updated
02/13/2023
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