NPI 1508138660

Marie Tallent Deloach, MTASCP

Practitioner Medical Technologist Dulce, NM

Practice location

Address: 500 North Mundo, Dulce, NM 87528
Phone: (575) 759-7252
Fax: (575) 759-3532
Mailing address: PO Box 187 500 North Mundo, Dulce, NM 87528-0187

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X Licence 03671395 (SC)

Other Specialist/Technologist, Pathology providers in New Mexico →

Registry record

NPI: 1508138660
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2012
Record last updated: 6 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.