Individual
MR. TEOFILO AGUILAR CARRASCO IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
226 CARVER RD, LAS CRUCES, NM 88005-3544
(575) 527-9575
(575) 527-9746
Mailing address
226 CARVER RD, LAS CRUCES, NM 88005-3544
(575) 527-9575
(575) 527-9746
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R64486
NM
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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