Provider Demographics
NPI:1396069522
Name:VIALPANDO, DENISE M (AAS)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:VIALPANDO
Suffix:
Gender:F
Credentials:AAS
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:M
Other - Last Name:VIALPANDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AAS
Mailing Address - Street 1:P.O. BOX 4430
Mailing Address - Street 2:
Mailing Address - City:ANTHONY
Mailing Address - State:NM
Mailing Address - Zip Code:88021
Mailing Address - Country:US
Mailing Address - Phone:575-882-5101
Mailing Address - Fax:575-882-2858
Practice Address - Street 1:820 HWY 478
Practice Address - Street 2:
Practice Address - City:ANTHONY
Practice Address - State:NM
Practice Address - Zip Code:88021
Practice Address - Country:US
Practice Address - Phone:575-882-5101
Practice Address - Fax:575-882-2858
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist