Individual
VICTORIA VIGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 DOUGLAS AVE, LAS VEGAS, NM 87701-3928
(505) 429-4399
(505) 454-5716
Mailing address
901 DOUGLAS AVE, LAS VEGAS, NM 87701-3928
(505) 429-4399
(505) 454-5716
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
293647
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639203318
—
NM
Enumeration date
08/06/2018
Last updated
08/06/2018
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