Individual
DEVON JANICE CORRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 S TELSHOR BLVD, LAS CRUCES, NM 88011-4688
(505) 974-5890
Mailing address
2612 TEXAS ST NE, ALBUQUERQUE, NM 87110-4684
(505) 830-1871
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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