Individual
NITA VALERIE ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(575) 623-1480
(575) 622-3325
Mailing address
PO BOX 1978, ROSWELL, NM 88202-1978
(575) 623-1480
(575) 622-3325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R36199
NM
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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