Individual
LENA JEAN CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(505) 885-4836
(505) 887-9579
Mailing address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(505) 885-4836
(505) 887-9579
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R18718
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42452732
—
NM
Enumeration date
11/10/2005
Last updated
07/08/2007
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