Provider Demographics
NPI:1922667799
Name:DOIL, VERONICA VALDEZ
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:VALDEZ
Last Name:DOIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 E IDAHO AVE
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-3746
Mailing Address - Country:US
Mailing Address - Phone:575-556-1604
Mailing Address - Fax:
Practice Address - Street 1:880 E IDAHO AVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-3746
Practice Address - Country:US
Practice Address - Phone:575-556-1604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator