MS. Susan Ernestine Vigil, LADAC
NPI #1184958381 in Mora, New Mexico
Provider Information
- NPI Number
- 1184958381
- Entity Type
- Individual
- Name
- MS. Susan Ernestine Vigil, LADAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Credential
- LADAC
- Enumeration Date
- Sep 22, 2009
- Last Updated
- Sep 23, 2009
Practice Location
- Address
- HWY 518 MM 26
- City
- Mora
- State
- New Mexico
- ZIP Code
- 87732-0209
- Phone
- (575) 387-2481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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