Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISA R MORTENSEN LISW (CLINICAL SERVICES ADMINISTRATOR)
(505) 324-5855
Entity
Organization
Contact information
Practice address
851 ANDREA DR, SUITE 4, BUILDING E, FARMINGTON, NM 87401-6726
(505) 324-5855
(505) 324-5896
Mailing address
851 ANDREA DR, SUITE 4, BUILDING E, FARMINGTON, NM 87401-6726
(505) 324-5855
(505) 324-5896
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-06083
NM
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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