MEDICARE: NOEMI OROZCO

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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1851620942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOEMI OROZCO

Provider Business Mailing Address
First Line	:	PO BOX 16027
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88004-6027
Country	:	US
Telephone Number	:	575-649-9226
Fax Number	:	575-522-5717

Provider Business Practice Location Address
First Line	:	4648 PYRAMID PEAK DR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-6287
Country	:	US
Telephone Number	:	575-649-9226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2009
Last Update Date	:	12/22/2009

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Directions to “ NOEMI OROZCO ” Practice Location

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