STAR RIDSDALE, LMT

Specialist

Active Individual
NPI: 1780739060

Practice Address

1005 21ST ST SE
SUITE #9
Rio Rancho, NM 87124

Phone: (505) 239-9644

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 1435 (NM)

Frequently Asked Questions

NPI 1780739060 is the National Provider Identifier for STAR RIDSDALE, LMT, a Specialist provider located in Rio Rancho, NM. This NPI was enumerated on January 24, 2007.
STAR RIDSDALE, LMT practices at 1005 21ST ST SE, SUITE #9, Rio Rancho, NM 87124.

Quick Facts

NPI
1780739060
Type
Individual
Enumerated
Jan 24, 2007
Last Updated
Jan 13, 2017

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