Individual
ELIJAH MEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
807 CALLE CHAMISAL, ESPANOLA, NM 87532-2976
(505) 372-4511
Mailing address
3585 PUEBLO DR, LOS ALAMOS, NM 87544-2166
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1481
NM
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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