Organization
ROXANA RAICU, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANA G. RAICU M.D. (OWNER)
(505) 603-4480
Entity
Organization
Contact information
Practice address
2204 BROTHERS RD, SUITE B, SANTA FE, NM 87505-6975
(505) 603-4480
(505) 807-0285
Mailing address
10 CALIENTE RD, SANTA FE, NM 87508-9167
(505) 603-4480
(505) 807-0285
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
2003-0100
NM
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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