Individual
ELIZABETH HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 INDUSTRIAL PARK RD, ESPANOLA, NM 87532-3600
(505) 753-3143
Mailing address
2010 INDUSTRIAL PARK RD, ESPANOLA, NM 87532-3600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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