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Individual

DAVINA M SEGAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CERTIFIED PREVENTION

Contact information

Practice address
7 RIO SAN JOSE ST, LAGUNA, NM 87026
(505) 552-6513
Mailing address
7 RIO SAN JOSE ST, LAGUNA, NM 87026
(505) 552-6513

Taxonomy

Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
0324
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
516500361
DRIVERS LIC
NM
Enumeration date
10/25/2019
Last updated
10/25/2019
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