RUBEN A. SUPAN, LLC

ROSWELL, NM
NPI1053802892
Entity TypeOrganization
Authorized ContactRUBEN SUPAN
Nurse Practitioner
505-409-0831
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2018-05-29
Last Update Date2021-07-06
Business Address
RUBEN A. SUPAN, LLC
405 W COUNTRY CLUB RD
ROSWELL, NM 88201-5209
Phone number: 575-363-3134
Mailing Address
RUBEN A. SUPAN, LLC
PO BOX 8244
ROSWELL, NM 88202-8244
Phone number: 575-208-0224
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