WESLEY ERIC ETHERIDGE

LAS CRUCES, NM
NPI1578149142
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-03-23
Last Update Date2021-03-23
Business Address
Mr. WESLEY ERIC ETHERIDGE
999 W AMADOR AVE STE D
LAS CRUCES, NM 88005-2739
Phone number: 575-556-9681
Mailing Address
Mr. WESLEY ERIC ETHERIDGE
999 W AMADOR AVE STE D
LAS CRUCES, NM 88005-2739
Phone number: 757-401-7302