Individual provider · Type 1 NPI

Marie Tallent Deloach, MT(ASCP)

Medical Technologist · Dulce, NM

NPI number 1508138660 Active

Practice location

500 North Mundo
Dulce, NM 87528

Call (575) 759-7252 Map

Fax (575) 759-3532

Mailing address

PO Box 187, 500 North Mundo
Dulce, NM 87528-0187

Specialties and licenses

TaxonomyCodeLicense
Medical Technologist Primary 246QM0706X03671395 (SC)

Medical Technologist: Definition to come...

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About NPI 1508138660

Marie Tallent Deloach, MT(ASCP)'s National Provider Identifier is 1508138660, issued on Feb 6, 2012. The primary taxonomy on file is Medical Technologist (246QM0706X), and the practice location is in Dulce, NM. The record was last updated on Feb 6, 2012.