Individual
ROSELINE BOATENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HWY 641 NORTH, SHIPROCK, NM 87420
(505) 368-6001
Mailing address
HWY 641 NORTH, SHIPROCK, NM 87420
(505) 368-6001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008279
NM
Other
Enumeration date
02/17/2015
Last updated
03/30/2017
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