Organization
ELITE WOUND CARE & ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSIE LEON (PRACTICE MANAGER)
(575) 644-9340
Entity
Organization
Contact information
Practice address
532 N TELSHOR BLVD STE H, LAS CRUCES, NM 88011-8234
(752) 052-2885
Mailing address
PO BOX 2845, LAS CRUCES, NM 88004-2845
(575) 205-2288
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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