Individual
LARYSSA DAWN HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 AMIS AVE, LAS CRUCES, NM 88005-1651
(575) 680-0018
Mailing address
PO BOX 1467, FAIRACRES, NM 88033-1467
(575) 680-0018
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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