CODY CARRASCO

TAOS, NM
NPI1437001203
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2026-02-12
Last Update Date2026-04-09
Business Address
CODY CARRASCO
105 BERTHA RD STE B
TAOS, NM 87571-7148
Phone number: 575-758-4297
Mailing Address
CODY CARRASCO
11 CUCHILLA RD
PENASCO, NM 87553
Phone number: