Search › New Mexico › 101YA0400X
Athena Gassoumis, M.DIV., LADAC
NPI 1649569575 · on the registry since 2011 · sole proprietor
Practice
- Address
- 119 Court St
Pob 876
Socorro, NM 87801 - Phone
- (575) 835-2389
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico