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Organization

TERRA ROSA HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GAIL M ELLISON CFNP (PRACTITIONER)
(505) 522-1100
Entity
Organization

Contact information

Practice address
741 N ALAMEDA BLVD STE 14, LAS CRUCES, NM 88005-2193
(505) 522-1100
(505) 522-0100
Mailing address
741 N ALAMEDA BLVD, STE 14, LAS CRUCES, NM 88005-2193
(505) 522-1100
(505) 522-0100

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
R32956
NM

Other

Enumeration date
07/19/2007
Last updated
10/23/2014
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