Organization
CHARLOTTE'S FASHIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE SUE DEERMAN CMF (MEMBER/MANAGER)
(575) 522-3903
Entity
Organization
Contact information
Practice address
1900 S TELSHOR BLVD, LAS CRUCES, NM 88011-4898
(575) 522-3903
(575) 522-3903
Mailing address
1900 S TELSHOR BLVD, LAS CRUCES, NM 88011-4898
(575) 522-3903
(575) 522-3903
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM00TB34
BLUE CROSS BLUE SHIELD
NM
Enumeration date
11/16/2006
Last updated
03/17/2010
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