Licon, Dalia Bermudez

Licon, Dalia Bermudez is an sole proprietor health care provider with primary practice located at 1001 S Diamond Ave , Deming NM 88030-4710. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Licon, Dalia Bermudez can be contacted via phone (575) 546-0427.

Contact Information

Primary practice address
1001 S Diamond Ave Deming NM 88030-4710
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 310477 New Mexico

Profile Details

NPI number 1992937221
LBN Legal business name Licon, Dalia Bermudez
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2009
Last updated Aug 20th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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