Kevin R Blain

NPI #1124709217 in Santa Teresa, New Mexico

Provider Information

NPI Number
1124709217
Entity Type
Individual
Name
Kevin R Blain
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
Jul 31, 2023
Last Updated
Aug 1, 2023

Practice Location

Address
5312 RIO BRAVO DR STE 10
ZIP Code
88008-9210
Phone
(575) 915-1338

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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