Organization
US TELEMEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES SANTOS AGUILAR (PROPRIETOR AND OFFICE MANAGER)
(619) 997-2639
Entity
Organization
Contact information
Practice address
309 RED SUN DR # D1, CHAPARRAL, NM 88081-7966
(575) 228-7787
Mailing address
309 RED SUN DR # D1, CHAPARRAL, NM 88081-7966
(575) 228-7787
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760722342
—
CA
Enumeration date
08/24/2022
Last updated
05/01/2023
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