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NPI Code Detail

MEDICARE: MONICA SOULAR

MEDICARE: MONICA SOULAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1538907704
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA SOULAR
Provider Business Mailing Address
First Line : 3913 ELKS DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-1112
Country : US
Telephone Number : 575-214-4195
Fax Number :
Provider Business Practice Location Address
First Line : 125 S MAIN ST
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-1270
Country : US
Telephone Number : 575-323-1315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2024
Last Update Date : 07/19/2024

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Directions to “ MONICA SOULAR ” Practice Location

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