Miguel Cervantes JR. BA

NPI 1619154978 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1619154978
Gender Male
Enumeration Date 01/29/2008
Last Updated 10/21/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
105 W GRIGGS AVE
LAS CRUCES NM, 88001-1235, US
Phone (575) 647-2800
Fax (575) 647-2898
Business Location
385 CALLE DE ALEGRA STE A
LAS CRUCES NM, 88005-3423, US
Phone (575) 526-1105
Fax (575) 647-2898
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mr. Miguel Cervantes JR. BA NPI is 1619154978, taxonomy code is 171M00000X Miguel Cervantes JR. BA physically located at 105 W Griggs Ave, Las Cruces NM, 88001-1235. NPI Number Miguel Cervantes JR. BA has the Individual type.

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1619154978 NPI number is provided on an as is basis without warranty of any kind. 1619154978 is maintained by the National Plan & Provider Enumeration System. The contents of Miguel Cervantes JR. BA are for informational purposes only.