Individual
MR. JOSUE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
841 MADRID DR, CHAPARRAL, NM 88081-7670
(915) 270-3085
Mailing address
841 MADRID DR, CHAPARRAL, NM 88081-7670
(915) 270-3085
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60679
NM
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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