Individual
MISS ELENA ROYBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 N RIVERSIDE DR, ESPANOLA, NM 87532-2811
(505) 747-7400
Mailing address
PO BOX 2716, ESPANOLA, NM 87532-4716
(505) 692-9527
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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