Individual
GINA RENEE SEGURA,
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASSOCIATES
Contact information
Practice address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(575) 755-2270
(575) 627-0405
Mailing address
802 N GREENWOOD AVE, ROSWELL, NM 88201-7424
(575) 420-3747
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
04/03/2023
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