Individual
FNU RANI CHANDANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5385
Mailing address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RS20210557
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS20210557
NM
Other
Enumeration date
06/22/2021
Last updated
03/25/2022
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