Organization
YORT LLC
Active
Other names
Desert Bloom Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
JAYCE RODRIGUEZ PA-C (OWNER/PROVIDER)
(575) 243-8084
Entity
Organization
Contact information
Practice address
2405 W PIERCE ST, CARLSBAD, NM 88220-3513
(575) 243-8084
Mailing address
2405 W PIERCE ST, CARLSBAD, NM 88220-3513
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
04/01/2025
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