Organization
CONSTANCE M FETTERS
Active
Other names
Desert Diabetes Resources
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONSTANCE M FETTERS RN CDE (OWNER)
(575) 541-4451
Entity
Organization
Contact information
Practice address
1100 S MAIN ST, SUITE 9, LAS CRUCES, NM 88005-2917
(575) 541-4451
(575) 524-1454
Mailing address
1080 LA QUINTA ST, LAS CRUCES, NM 88007-4809
(575) 541-4451
(575) 524-1454
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
R10382
NM
Other
Enumeration date
05/01/2008
Last updated
06/24/2008
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