Individual
RAYMOND SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 E HIGH ST, TUCUMCARI, NM 88401-2510
(575) 742-2620
(575) 742-3182
Mailing address
202 E EARLL DR, PHOENIX, AZ 85012-2634
(575) 742-2620
(575) 742-3182
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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