Individual
MRS. TERRI D EACHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
204 E COLLEGE BLVD, ROSWELL, NM 88201
(505) 625-9800
(505) 624-1724
Mailing address
204 E COLLEGE BLVD, ROSWELL, NM 88201
(505) 625-9800
(505) 624-1724
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
319
NM
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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