SELENE MATA

LAS CRUCES, NM
NPI1245624030
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NM  3683)
Enumeration Date2015-03-19
Last Update Date2015-03-19
Business Address
-- SELENE MATA RDH
385 CALLE DE ALEGRA BUILDING C
LAS CRUCES, NM 88005-3423
Phone number: 575-532-1933
Mailing Address
-- SELENE MATA RDH
PO BOX 13725
LAS CRUCES, NM 88013-3725
Phone number: 575-532-1933
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