| West Las Vegas Schools | |
|
179 Bridge St Las Vegas NM 87701-3495 | |
| (505) 426-2554 | |
| (505) 426-2782 |
| Full Name | West Las Vegas Schools |
|---|---|
| Speciality | Psychologist - School |
| Location | 179 Bridge St, Las Vegas, New Mexico |
| Authorized Official Name and Position | Karla K Griego (MEDICAID COORDINATOR) |
| Authorized Official Contact | 5054262554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Las Vegas Schools 179 Bridge St Las Vegas NM 87701-3495 Ph: (505) 426-2554 | West Las Vegas Schools 179 Bridge St Las Vegas NM 87701-3495 Ph: (505) 426-2554 |
| NPI Number | 1255636395 |
|---|---|
| Provider Enumeration Date | 01/21/2011 |
| Last Update Date | 01/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255636395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 271289 (New Mexico) | Primary |
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