Individual
MARIELLE LAGAMAYO OPENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
42121 US HIGHWAY 70, PORTALES, NM 88130-9054
(575) 356-6652
Mailing address
42121 US HIGHWAY 70, PORTALES, NM 88130-9054
(575) 356-6652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2023-0338
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2020
Last updated
07/09/2023
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