| Susanna Rand | |
|
500 N Main St Ste 1006 Roswell NM 88201-4768 | |
| (575) 626-9593 | |
| Not Available |
| Full Name | Susanna Rand |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 N Main St Ste 1006, Roswell, New Mexico |
| Authorized Official Name and Position | Susanna Rand (OWNER) |
| Authorized Official Contact | 5756269593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susanna Rand Po Box 3564 Roswell NM 88202-3564 Ph: (575) 626-9593 | Susanna Rand 500 N Main St Ste 1006 Roswell NM 88201-4768 Ph: (575) 626-9593 |
| NPI Number | 1811239338 |
|---|---|
| Provider Enumeration Date | 03/22/2013 |
| Last Update Date | 03/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811239338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0151651 (New Mexico) | Primary |
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