Individual
SUZANNE LUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 CALLE CHAMISAL, ESPANOLA, NM 87532-2976
(505) 376-7288
Mailing address
807 CALLE CHAMISAL, ESPANOLA, NM 87532-2976
(505) 376-7288
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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