Individual
PAPA ENTSUAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 N MAIN ST, ROSWELL, NM 88201-0314
(479) 295-7198
Mailing address
4400 N MAIN ST, ROSWELL, NM 88201-0314
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IN00003766
NM
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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