Individual
DESIRAE M ROMERO MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(575) 769-2345
(575) 769-9013
Mailing address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(575) 769-2345
(575) 769-9013
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
05/16/2023
Last updated
02/11/2026
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