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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