Individual
HENRIETTA ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
18424 S. HWY 28, SAN MIGUEL, NM 88058
(505) 526-1105
(505) 524-4266
Mailing address
18424 S HWY 28, PO DRAWER D, SAN MIGUEL, NM 88058
(505) 233-4270
(505) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006158
NM
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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