Organization
DEVIN DENNIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEVIN ELISABETH DENNIS (CASE MANGER)
(505) 973-0099
Entity
Organization
Contact information
Practice address
429 RIVER LN, RUIDOSO DOWNS, NM 88346
(505) 973-0099
Mailing address
429 RIVER LN, RUIDOSO DOWNS, NM 88346
(505) 059-7300
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
09/10/2007
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