Individual
ALICIA HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 W BROADWAY ST, HOBBS, NM 88240-5529
(575) 393-3168
Mailing address
PO BOX 907, HOBBS, NM 88241-0907
(575) 393-3168
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
1325
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56839707
—
NM
Enumeration date
09/09/2021
Last updated
04/01/2022
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