Jerry Leandro Coca

NPI 1679753149 - Psychologist - 103TC1900X

NPI Details
NPI 1679753149
Gender Male
Enumeration Date 11/13/2007
Last Updated 11/13/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
HC 80 BOX 365
LAS VEGAS NM, 87701-8959, US
Phone (505) 425-6804
Fax
Business Location
HC 80 BOX 365
LAS VEGAS NM, 87701-8959, US
Phone (505) 425-6804
Fax
Toxanomy
Taxonomy Code 103TC1900X
License State New Mexico
License Number 1484
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According to our database, Dr. Jerry Leandro Coca NPI is 1679753149, taxonomy code is 103TC1900X and license number is 1484, license state is located at New Mexico. Jerry Leandro Coca physically located at Hc 80 Box 365, Las Vegas NM, 87701-8959. NPI Number Jerry Leandro Coca has the Individual type.

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1679753149 NPI number is provided on an as is basis without warranty of any kind. 1679753149 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Leandro Coca are for informational purposes only.