Individual
MRS. LIBERTY HAYLA-MARIE DUENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N 1ST ST STE B, GRANTS, NM 87020-3905
(505) 218-6383
Mailing address
200 N 1ST ST STE B, GRANTS, NM 87020-3905
(505) 218-6383
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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