| Rejuvenation Etc. | |
|
101 Reese Dr Ruidoso NM 88345-6017 | |
| (575) 630-3739 | |
| (575) 630-3739 |
| Full Name | Rejuvenation Etc. |
|---|---|
| Speciality | General Practice |
| Location | 101 Reese Dr, Ruidoso, New Mexico |
| Authorized Official Name and Position | Janet M La Rosa (DR. ORIENTAL MEDICINE) |
| Authorized Official Contact | 5756303739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvenation Etc. 101 Reese Dr Ruidoso NM 88345-6017 Ph: (575) 630-3739 | Rejuvenation Etc. 101 Reese Dr Ruidoso NM 88345-6017 Ph: (575) 630-3739 |
| NPI Number | 1912174046 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912174046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 470RX2 (New Mexico) | Primary |
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