Individual
FEDELINA DOLORES ROMERO PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
903 C 5TH STREET, ESTANCIA, NM 87016-0164
(505) 384-2777
(505) 384-2204
Mailing address
PO BOX 807, ESTANCIA, NM 87016-0164
(505) 384-2777
(505) 384-2204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0098531
NM
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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