Individual
MRS. ASHLEY DANIELLE MOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 S MAIN ST, LAS CRUCES, NM 88001-1266
(575) 647-2841
(575) 647-2898
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72545
—
NM
Enumeration date
09/17/2014
Last updated
10/21/2015
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