Individual
MRS. CAROL DENISE MANCHESTER-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
723 VIRGINIA AVE, ALAMOGORDO, NM 88310-6758
(575) 937-0977
(575) 257-1569
Mailing address
PO BOX 8032, RUIDOSO, NM 88355-8032
(575) 937-0977
(575) 257-1569
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
2206 QBS
—
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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