| Rosalita Llc | |
|
518 Old Santa Fe Trl # 171 Santa Fe NM 87505-0398 | |
| (505) 204-1239 | |
| Not Available |
| Full Name | Rosalita Llc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 518 Old Santa Fe Trl # 171, Santa Fe, New Mexico |
| Authorized Official Name and Position | Feral A Macloud (DOCTOR OF ORIENTAL MEDICINE) |
| Authorized Official Contact | 5052041239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosalita Llc 518 Old Santa Fe Trl # 171 Santa Fe NM 87505-0398 Ph: (505) 204-1239 | Rosalita Llc 518 Old Santa Fe Trl # 171 Santa Fe NM 87505-0398 Ph: (505) 204-1239 |
| NPI Number | 1174859136 |
|---|---|
| Provider Enumeration Date | 10/27/2009 |
| Last Update Date | 11/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174859136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 502 (New Mexico) | Primary |
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