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Individual

CARLOS PEAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.PED

Contact information

Practice address
532 N TELSHOR BLVD STE H, LAS CRUCES, NM 88011-8234
(575) 210-1495
Mailing address
532 N TELSHOR BLVD STE H, LAS CRUCES, NM 88011-8234
(575) 210-1495

Taxonomy

Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
CPED2904

Other

Enumeration date
10/22/2012
Last updated
06/15/2023
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