Individual
MS. ROSINA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSR-INSTRUCTOR
Contact information
Practice address
2015 E 12TH ST, FARMINGTON, NM 87401-7460
(505) 326-2695
Mailing address
2015 E 12TH ST, FARMINGTON, NM 87401-7460
(505) 326-2695
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44933
—
NM
Enumeration date
11/11/2013
Last updated
11/11/2013
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