Organization
RAFUAH TOV INC
Active
Other names
Eldorado Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA J WASSNER CFNP (PRESIDENT, OWNER)
(505) 466-1400
Entity
Organization
Contact information
Practice address
1 CALIENTE RD, SUITE C, SANTA FE, NM 87508-8163
(505) 466-1400
(505) 466-3335
Mailing address
1 CALIENTE RD STE C, SANTA FE, NM 87508-8162
(505) 466-1400
(505) 466-3335
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R56683
NM
Other
Enumeration date
02/28/2007
Last updated
12/17/2007
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