Individual
MS. AMY BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5141
(575) 521-5200
Mailing address
2450 S. TELSHOR, LAS CRUCES, NM 88007-5141
(575) 521-5200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-0702
NM
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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