Amanda Kristine Banuelos BCJ

NPI 1417239971 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1417239971
Gender Female
Enumeration Date 09/12/2011
Last Updated 02/10/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
100 W. GRIGGS
LAS CRUCES NM, 88001, US
Phone (575) 647-2800
Fax (575) 647-2898
Business Location
100 W GRIGGS AVE
LAS CRUCES NM, 88001-1234, US
Phone (575) 647-2800
Fax (575) 647-2898
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mrs. Amanda Kristine Banuelos BCJ NPI is 1417239971, taxonomy code is 171M00000X Amanda Kristine Banuelos BCJ physically located at 100 W. Griggs, Las Cruces NM, 88001. NPI Number Amanda Kristine Banuelos BCJ has the Individual type.

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1417239971 NPI number is provided on an as is basis without warranty of any kind. 1417239971 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Kristine Banuelos BCJ are for informational purposes only.