Individual
TORI LYNN PEYCHICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 S AVENUE C, PORTALES, NM 88130-6253
(575) 760-0754
Mailing address
44 S ROOSEVELT ROAD AD, PORTALES, NM 88130-9548
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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