Individual
DR. ROSE A DUCASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
601 N 1ST ST, SUITE B, GRANTS, NM 87020-2703
(505) 287-5377
(505) 287-5508
Mailing address
PO BOX 540, GRANTS, NM 87020-0540
(505) 287-5377
(505) 287-5508
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1749
NM
111N00000X
Chiropractor
CH 8548
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15051587
—
NM
Enumeration date
03/07/2006
Last updated
01/14/2014
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