Individual
LINDA HALLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
587 BRAZOS DR SE, RIO RANCHO, NM 87124-3256
(505) 206-7118
Mailing address
587 BRAZOS DR SE, RIO RANCHO, NM 87124-3256
(505) 206-7118
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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