Individual
RICHARD C. RASCON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 S. CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5958
(505) 867-2383
(505) 867-7293
Mailing address
872 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5958
(505) 867-2383
(505) 867-7293
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/06/2014
Last updated
06/17/2015
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