Organization
CERRONE FAMILY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY AUTREY (MANGER)
(505) 249-1369
Entity
Organization
Contact information
Practice address
104 QUAIL TRL STE B, EDGEWOOD, NM 87015-7197
(505) 926-9800
Mailing address
104 QUAIL TRL STE B, EDGEWOOD, NM 87015-7197
(505) 926-9700
(505) 788-5660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/08/2023
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