Individual
MS. JACQUELINE M MERAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4020 N VALLEY DR, LAS CRUCES, NM 88007-6844
(575) 571-2724
(575) 571-2724
Mailing address
4020 N VALLEY DR, LAS CRUCES, NM 88007-6844
(575) 571-2724
(575) 571-2724
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45432333
—
NM
Enumeration date
04/10/2018
Last updated
04/10/2018
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