Individual
RENEE BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 S SOLANO DR, LAS CRUCES, NM 88001-3758
(575) 526-7832
Mailing address
PO BOX 781, MESILLA, NM 88046-0781
(575) 652-2197
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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