Individual
RAMONA DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 SAN JOSE, LAGUNA, NM 87026-5026
(505) 552-6652
(505) 552-0605
Mailing address
PO BOX 194, LAGUNA, NM 87026-0194
(505) 552-6652
(505) 552-0605
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163W00000X
Registered Nurse
R19339
NM
172V00000X
Community Health Worker
Primary
—
NM
174H00000X
Health Educator
—
—
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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