Individual
MARIA VIRGINIA PEREZ BASTIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(786) 543-8490
Mailing address
4351 E LOHMAN AVE STE 300, LAS CRUCES, NM 88011-8262
(786) 543-8490
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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