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Tara Carmelina Lupo, BSW
Student in an Organized Health Care Education/Training Program in Taos, New Mexico
NPI 1164209094

Tara Carmelina Lupo is a Student in an Organized Health Care Education/Training Program based in El Prado, NM. Tara Carmelina Lupo practices in Taos, NM and has the professional credentials of BSW. The NPI Number for Tara Carmelina Lupo is 1164209094 and holds a License No. (New Mexico).

The current practice location address for Tara Carmelina Lupo is 1090 Goat Springs Rd., Taos, NM and can be reached out via phone at 575-758-6900.

Location: 1090 Goat Springs Rd., Taos, NM, 87529-7477
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164209094
Provider Name
Tara Carmelina Lupo
Credential
BSW
Provider Entity Type
Individual
Gender
Female
Address
1090 Goat Springs Rd., Taos, NM, 87529-7477
Phone Number
575-758-6900
Fax Number
Provider Enumeration Date
09/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1090 Goat Springs Rd.
City
Taos
State
New Mexico
Zip
87571
Phone Number
575-758-6900
Fax Number
person
Provider Business Mailing Address Details
Address
1090 Goat Springs Rd.
City
Taos
State
New Mexico
Zip
87571
Phone Number
575-758-6900
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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