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Organization

ELITE PRIMARY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAIME SANCHEZ CNP (MEMBER)
(575) 993-9890
Entity
Organization

Contact information

Practice address
530 N TELSHOR BLVD STE A, LAS CRUCES, NM 88011-8243
(575) 303-2929
Mailing address
PO BOX 2845, LAS CRUCES, NM 88004-2845
(575) 993-9890

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8054960001
MEDICARE DME
NM
Enumeration date
01/08/2019
Last updated
08/09/2023
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