Individual
ADELAIDO LOPES GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 JEMEZ ST, SANTO DOMINGO PUEBLO, NM 87052-1241
(505) 239-1643
Mailing address
PO BOX 542, SANTO DOMINGO PUEBLO, NM 87052-0542
(505) 239-1643
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-1247
NM
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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