-- TRA AFUA AHIA --
Individual Provider (NPI-1)
Active
Psychologist, School
Provider Information
- NPI Number
1871936104- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 501 W FLORIDA ST, DEMING, NM, 880306302
- Phone
- (575) 546-0427
Specialties & Taxonomies
Psychologist, School
Primary License: NM #354584