Family Practice Medical and Dietetic Medical Therapy
NPI #1609199447 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1609199447
- Entity Type
- Organization
- Organization Name
- Family Practice Medical and Dietetic Medical Therapy
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- Mar 8, 2010
- Last Updated
- Mar 29, 2013
Practice Location
- Address
- 2904 HILLRISE DR
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-4702
- Phone
- (575) 532-5386
Authorized Official
- Name
- MR. JOSE ROSALES, NP
- Title
- OWNER
- Phone
- (575) 532-5386
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
| Nurse Practitioner - Primary Care — Primary Care |
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