Individual provider · NPI-1

Dorothy A Dipace

Technician, Attendant Care Provider · Las Cruces, NM

NPI number1629629498
StatusActive
Last updated in NPPESSep 24, 2019

Details

NPI
1629629498
Entity type
Individual (NPI-1)
Name
Dorothy A Dipace
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 24, 2019
Last updated
Sep 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

661 La Melodia Dr
Las Cruces, NM 88011-7097

Phone 575-636-8203

Mailing address

661 La Melodia Dr
Las Cruces, NM 88011-7097

Phone 575-636-8203

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