Teddey Provencio
Teddey Provencio is a Case Manager/Care Coordinator in Las Cruces, New Mexico. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
118 S Main StLas Cruces, NM 88001
Phone: (575) 527-7975
Fax: (575) 647-2898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1407158298 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 30, 2010 |
| Last updated in NPPES | November 30, 2010 |
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