State of New Mexico
NPI #1437363678 in Las Vegas, New Mexico
Provider Information
- NPI Number
- 1437363678
- Entity Type
- Organization
- Organization Name
- State of New Mexico
- Primary Specialty
- Social Worker
- Enumeration Date
- May 9, 2007
- Last Updated
- Jun 2, 2009
Practice Location
- Address
- 3695 HOT SPRINGS BLVD
- City
- Las Vegas
- State
- New Mexico
- ZIP Code
- 87701-9549
- Phone
- (505) 454-2254
Authorized Official
- Name
- MR. CHARLES R. JARAMILLO
- Title
- FINANCE DIRECTOR
- Phone
- (505) 454-2306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Social Worker |
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