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Individual

MRS. ERNEDA ESPINOSA ROMERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2001 CHAMISA ST, SANTA FE, NM 87505-3441
(505) 982-2129
(505) 992-1149
Mailing address
2001 CHAMISA ST, SANTA FE, NM 87505-3441
(505) 982-2129
(505) 992-1149

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
0900034036
NM

Other

Enumeration date
01/31/2011
Last updated
01/31/2011
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