Individual
THERESA ELAINE TSOODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
1870 E HIGHWAY 66, GALLUP, NM 87301-4955
(505) 722-9499
(505) 722-7988
Mailing address
1870 E HIGHWAY 66, GALLUP, NM 87301-4955
(505) 722-9499
(505) 722-7988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7115
NM
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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