Individual
LARISSA RAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 RIDGECREST DR SE, RIO RANCHO, NM 87124-5907
(505) 892-2262
Mailing address
4300 RIDGECREST DR SE, RIO RANCHO, NM 87124-5907
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00010004
NM
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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