Individual
DESHAUN ANTWAN EPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 N HUDSON ST, SILVER CITY, NM 88061-5516
(575) 597-0211
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2617
(575) 597-2990
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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