Individual
LEAH CORRINE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 W 11TH ST, SILVER CITY, NM 88061-5124
(575) 388-1511
(575) 313-8234
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2618
(575) 542-2369
(575) 542-2388
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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