Individual
CARLOS TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1021 E PINE ST, DEMING, NM 88030-7009
(575) 546-6746
(575) 546-6748
Mailing address
1021 E PINE ST, DEMING, NM 88030-7009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008647
NM
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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