Organization
THREE SUNS BIRTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN PULTS CPM, LM (CLINICAL DIRECTOR)
(575) 416-5203
Entity
Organization
Contact information
Practice address
406 S LEA AVE, ROSWELL, NM 88203-4564
(575) 416-5203
(575) 616-7006
Mailing address
3000 BANDOLINA AVE, ROSWELL, NM 88201-6610
(575) 416-5203
(575) 616-7006
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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