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Individual

VERONICA ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
535 S. MIRANDA ST., LAS CRUCES, NM 88005
(575) 647-2800
(575) 647-2898
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN-21652
NM

Other

Enumeration date
10/25/2021
Last updated
10/25/2021
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