Individual
MRS. JUANITA M RESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1941 SOUTHERN BLVD SE, RIO RANCHO, NM 87124-3510
(505) 891-8186
(505) 892-8017
Mailing address
1941 SOUTHERN BLVD SE, RIO RANCHO, NM 87124-3510
(505) 891-8186
(505) 892-8017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6118
NM
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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