PRISMA DAVALOS

PORTALES, NM
NPI1871220327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363AS0400X Physician Assistant, Surgical
Enumeration Date2022-08-04
Last Update Date2024-12-31
Business Address
PRISMA DAVALOS PA-C
42121 US HWY 70
PORTALES, NM 88130
Phone number: 575-356-6652
Mailing Address
PRISMA DAVALOS PA-C
PO BOX 299
PORTALES, NM 88130-0299
Phone number: 575-356-6652