Mister Birdo
NPI #1174031629 in Clovis, New Mexico
Provider Information
- NPI Number
- 1174031629
- Entity Type
- Individual
- Name
- Mister Birdo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 18, 2018
- Last Updated
- Jan 18, 2018
Practice Location
- Address
- 1100 W 21ST ST
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-4151
- Phone
- (575) 769-2345
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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