Individual
DESIREE RENEE SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S 4TH ST, RATON, NM 87740-4007
(575) 445-3557
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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