Individual
TRA AFUA AHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W FLORIDA ST, DEMING, NM 88030-6302
(575) 546-0427
Mailing address
501 W FLORIDA ST, DEMING, NM 88030-6302
(575) 546-0427
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
354584
NM
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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