Doctor Name: | MRS. ESPERANZA TELLES |
NPI Number: | 1538399605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | 1377 |
Business Practice Address: | 210 W Las Cruces Ave Las Cruces, NM - 880051804 |
Business Phone Number: | 5755253700 |
Business Fax Number: | 5755253703 |
Mailing Address: | 4784 Saromi Ln, LAS CRUCES |
State: | NM |
Postal Code: | 880116806 |
Phone Number: | 5756406926 |
Fax Number: | 5755253703 |
NPI Enumeration Date: | 07/22/2009 |
NPI Last Update Date: | 07/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 1377 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |