Individual
HARUHAUANI SPRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 S FOCH ST, T OR C, NM 87901-3331
(575) 894-4000
(404) 601-2761
Mailing address
455 S FOCH ST, T OR C, NM 87901-3331
(575) 894-4000
(404) 601-2761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002-0475
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87230275
—
NM
Enumeration date
08/25/2005
Last updated
02/18/2012
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