Individual
MARY JANE DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2882-3 GLASS RD, LAS CRUCES, NM 88012
(575) 639-1432
(575) 524-4266
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74481
—
NM
Enumeration date
08/03/2012
Last updated
10/26/2015
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