Individual
MARINA RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
107 SUNSET LOOP, MESCALERO, NM 88340-8834
(575) 464-4432
(575) 464-4331
Mailing address
PO BOX 227, MESCALERO, NM 88340-0227
(575) 464-4432
(575) 464-4331
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
833
NM
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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