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Organization

FAMILY MEDICINE AND REJUVENATION THERAPIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERONICA TORRES CERVANTES FNP-C (PRIMARY CARE PROVIDER)
(720) 276-8251
Entity
Organization

Contact information

Practice address
200 VINTON RD, ANTHONY, NM 88021-7047
(720) 276-8251
Mailing address
200 VINTON RD, ANTHONY, NM 88021-7047

Taxonomy

Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
261QP2300X
Primary Care Clinic/Center
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
10/09/2023
Last updated
07/15/2024
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