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Individual

MARTIN S MIERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3100 N MAIN ST, LAS CRUCES, NM 88001-1162
(575) 525-0298
(575) 525-0166
Mailing address
765 CREED AVE, LAS CRUCES, NM 88005-1264
(575) 640-8650
(575) 525-0166

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RP00004449
NM

Other

Enumeration date
09/01/2009
Last updated
09/01/2009
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