Organization
ROSALITA LLC
Active
Organization
ROSALITA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERAL A MACLOUD DOM (DOCTOR OF ORIENTAL MEDICINE)
(505) 204-1239
Entity
Organization
Contact information
Practice address
518 OLD SANTA FE TRL # 171, SANTA FE, NM 87505-0398
(505) 204-1239
Mailing address
518 OLD SANTA FE TRL # 171, SANTA FE, NM 87505-0398
(505) 204-1239
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
502
NM
Other
Enumeration date
10/27/2009
Last updated
11/02/2009
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