Individual
TATIANA GURROLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
305 W COUNTRY CLUB RD, ROSWELL, NM 88201-5892
(575) 622-6322
Mailing address
305 W COUNTRY CLUB RD, ROSWELL, NM 88201-5892
(575) 622-6322
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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