Organization
WALSH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL DARIN SPICHER (BILLING CLERK)
(806) 771-1166
Entity
Organization
Contact information
Practice address
4101 N PRINCE ST, CLOVIS, NM 88101-9707
(575) 935-3488
Mailing address
4101 N PRINCE ST, CLOVIS, NM 88101-9707
(575) 935-3488
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R28624
NM
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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