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NPI Profile for FAMILY PRACTICE MEDICAL AND DIETETIC MEDICAL THERAPY in LAS CRUCES, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional |
| NPI Number | 1609199447 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/08/2010 | |
| Last updated | 03/29/2013 - About 13 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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FAMILY PRACTICE MEDICAL AND DIETETIC MEDICAL THERAPY
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FAMILY PRACTICE MEDICAL AND DIETETIC MEDICAL THERAPY