Individual
LAPRINCESS D TSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
735 W ANIMAS ST STE 101, FARMINGTON, NM 87401-5616
(505) 609-2880
(505) 609-2882
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-6595
(505) 609-6579
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-03007
NM
Other
Enumeration date
09/27/2016
Last updated
12/01/2021
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