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Individual

ALYSSA ROSE LUJAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
811 PASEO DEL PUEBLO SUR, TAOS, NM 87571-6395
(575) 758-1704
Mailing address
334 LA LUZ DR, TAOS, NM 87571-6679
(505) 814-8347

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009004
NM

Other

Enumeration date
10/14/2018
Last updated
10/14/2018
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