LAURENCE OSTREA NICDAO

CLOVIS, NM
NPI1841994522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NM  PT6101)
Enumeration Date2023-03-28
Last Update Date2023-03-28
Business Address
LAURENCE OSTREA NICDAO
1609 N PRINCE ST
CLOVIS, NM 88101-4850
Phone number: 575-935-0360
Mailing Address
LAURENCE OSTREA NICDAO
1609 N PRINCE ST
CLOVIS, NM 88101-4850
Phone number: 575-935-0360