Individual
DECHEN WANGMO TSEWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
RR5 BOX 446, SANTA CLARA HEALTH CENTER, ESPANOLA, NM 87532-9614
(505) 753-9421
(505) 753-5039
Mailing address
RR5 BOX 446, SANTA CLARA HEALTH CENTER, ESPANOLA, NM 87532-9614
(505) 753-9421
(505) 753-5039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2011-0468
NM
Other
Enumeration date
04/24/2008
Last updated
07/12/2011
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