Bert Dennis
NPI #1417555764 in Raton, New Mexico
Provider Information
- NPI Number
- 1417555764
- Entity Type
- Individual
- Name
- Bert Dennis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Oct 9, 2020
- Last Updated
- Oct 9, 2020
Practice Location
- Address
- 411 S 3RD ST
- City
- Raton
- State
- New Mexico
- ZIP Code
- 87740-4005
- Phone
- (575) 733-0003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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