CARLY BRACK NPI 1104289966

NPI Information

Carly Brack is a technician other in Las Cruces, NM. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. Carly Brack NPI is 1104289966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2740 FAIRWAY DR
APT. B
LAS CRUCES, NM
ZIP 88011-081
Phone: (575) 993-9342

The enumeration date for this NPI number is 3/30/2016 and was last updated on 3/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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