Individual
NATIVIDAD LOVATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 PASEO DEL CANON W, TAOS, NM 87571-8218
(575) 758-1596
Mailing address
413 SIPAPU ST, TAOS, NM 87571-6489
(575) 758-5857
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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