Organization
TESORO INTEGRATIVE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA SUSAN MCCLURE M.A. (OWNER)
(575) 541-5660
Entity
Organization
Contact information
Practice address
1605 S MAIN ST, BLDG A, LAS CRUCES, NM 88005-3124
(575) 541-5660
Mailing address
1605 S MAIN ST, BLDG A, LAS CRUCES, NM 88005-3124
(575) 541-5660
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2011
Last updated
02/06/2013
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