Individual
VAN R WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM
Contact information
Practice address
801 N UNION AVE, ROSWELL, NM 88201-3957
(575) 927-7109
(575) 627-8439
Mailing address
PO BOX 3112, ROSWELL, NM 88202
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
169RX1
NM
Other
Enumeration date
05/25/2006
Last updated
05/21/2009
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