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Individual

MRS. ERNESTINA RODRIGUEZ LUERA CSW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
901 W HICKORY ST, DEMING, NM 88030-4046
(575) 546-2174
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
(575) 546-2174

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/06/2020
Last updated
07/28/2021
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