Individual
MIN BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 BATAAN MEMORIAL E # LC, LAS CRUCES, NM 88011-6011
(575) 522-8603
Mailing address
2175 SEDONA HILLS PKWY, LAS CRUCES, NM 88011-4135
(217) 390-4513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007969
NM
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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