Individual
MARK HENRY MOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
411 CORTEZ AVE, HURLEY, NM 88043-9746
(575) 284-5538
Mailing address
411 CORTEZ AVE, HURLEY, NM 88043-9746
(575) 284-5538
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2024
Last updated
09/03/2024
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