ROBERTA L. FENNIG DO PC

SANTA TERESA, NM
NPI1912259441
Entity TypeOrganization
Authorized ContactROBERTA LEE FENNIG
President
915-494-1237
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: NM  A167712)
Enumeration Date2012-10-08
Last Update Date2012-10-08
Business Address
ROBERTA L. FENNIG DO PC
5305 MCNUTT RD SUITE H
SANTA TERESA, NM 88008-9685
Phone number: 575-589-1770
Mailing Address
ROBERTA L. FENNIG DO PC
PO BOX 4
SANTA TERESA, NM 88008-0004
Phone number: 575-589-1770
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