Organization
ROSITA'
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSITA A. MOYA-HERRERA LMSW (THERAPIST)
(505) 771-5958
Entity
Organization
Contact information
Practice address
825 TOADLENA MEADOWS DR NE, RIO RANCHO, NM 87144-0542
(505) 818-1846
Mailing address
825 TOADLENA MEADOWS DR NE, RIO RANCHO, NM 87144-0542
(505) 818-1846
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
M-05024
NM
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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