Doctor Name: | MS. MARGO G BENCOMO |
NPI Number: | 1346515475 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 008272158 |
Business Practice Address: | 3325 Valverde Loop Las Cruces, NM - 880128550 |
Business Phone Number: | 5755252337 |
Business Fax Number: | 5755252337 |
Mailing Address: | 3325 Valverde Loop, LAS CRUCES |
State: | NM |
Postal Code: | 880128550 |
Phone Number: | 5755252337 |
Fax Number: | 5755252337 |
NPI Enumeration Date: | 03/22/2012 |
NPI Last Update Date: | 03/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 172A00000X |
License Number: | 008272158 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Driver |
Taxonomy Specialization: | |
Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |