Individual
MRS. RENEE ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3331 RINCONADA BLVD, LAS CRUCES, NM 88011-7193
(575) 680-3779
Mailing address
3331 RINCONADA BLVD, LAS CRUCES, NM 88011
(575) 680-3779
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5695
NM
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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