Individual
BRENDA CARACHEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
199 HWY 50, PECOS, NM 87552
(505) 757-6666
(505) 757-2700
Mailing address
199 HWY 50, PECOS, NM 87552
(505) 757-6666
(505) 757-2700
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH4545
NM
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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