Individual
MARTHA JAZMIN BANUELOS-PAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1200 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-2444
(505) 443-8338
Mailing address
1200 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-2444
(505) 443-8338
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
07/24/2023
Last updated
08/01/2023
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