Individual
EMMANUEL MENSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 S MAIN ST, ROSWELL, NM 88203-5635
(575) 623-9300
Mailing address
1600 N SYCAMORE AVE APT 310, ROSWELL, NM 88201-8824
(720) 474-7974
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009062
NM
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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