Individual
ADYSON ROSE TARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 GROS VENTRE DR NE, RIO RANCHO, NM 87144-7783
(425) 295-1976
Mailing address
1721 GROS VENTRE DR NE, RIO RANCHO, NM 87144-7783
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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