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Organization

ELITE PRIMARY CARE LLC

Active
Parent organization
ELITE PRIMARY CARE, LLC
Other names
Function
Organization subpart
Yes

Provider details

NPI number
Legal business name
ELITE PRIMARY CARE, LLC
Authorized official
JAIME SANCHEZ CNP (OFFICER)
(575) 993-9890
Entity
Organization

Contact information

Practice address
4400 E. LOHMAN AVE, LAS CRUCES, NM 88011
(575) 993-9890
Mailing address
PO BOX 2845, LAS CRUCES, NM 88004-2845
(575) 644-9340

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
05/27/2021
Last updated
05/27/2021
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