Individual
MRS. AMELYN D'EGIDIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERT MLD THERAPIST
Contact information
Practice address
1350 CENTRAL AVE, SUITE 105, LOS ALAMOS, NM 87544-3244
(505) 662-3384
Mailing address
1350 CENTRAL AVE, SUITE 105, LOS ALAMOS, NM 87544-3244
(505) 662-3384
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP02813400
NJ
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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