Individual
MRS. RITA ANN DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 PORR DR, RUIDOSO, NM 88345-6713
(575) 630-1214
(575) 630-2083
Mailing address
243 RICHARDSON CANYON RD, CAPITAN, NM 88316-5300
(575) 354-0044
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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