Individual
MRS. VIN NICOLE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTER'S
Contact information
Practice address
904 ARROYO SECO, ALAMOGORDO, NM 88310-7796
(575) 551-1780
Mailing address
904 ARROYO SECO, ALAMOGORDO, NM 88310-7796
(575) 551-1780
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
NM
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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