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NPI Code Detail

MEDICARE: ROSEMOND WOOLSEY CSFA

MEDICARE:   ROSEMOND  WOOLSEY  CSFA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZC0007XSurgical Assistant

General Provider Information

NPI Number : 1043965973
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMOND WOOLSEY CSFA
Provider Business Mailing Address
First Line : 4999 DREAM DANCER DR NE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87144-0851
Country : US
Telephone Number : 505-639-3010
Fax Number :
Provider Business Practice Location Address
First Line : 4999 DREAM DANCER DR NE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87144-0851
Country : US
Telephone Number : 505-639-3010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2022
Last Update Date : 02/12/2024

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Directions to “ ROSEMOND WOOLSEY CSFA” Practice Location

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