Individual
MS. THERESA TREAS-CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
318 ABALONE LOOP, MESCALERO, NM 88340
(505) 464-4441
(505) 464-4422
Mailing address
1820 CRESCENT DR, ALAMOGORDO, NM 88310-3837
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R48424
NM
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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