Most Relevant Information
Provider Data
| NPI Number: | 1003214941 |
| Provider Name: | ROSA SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/09/2014 |
| Last Updated: | 10/27/2015 |
Provider Practice Location
5022 CALLE DE RANCHERO
LAS CRUCES
NM
88012
Practice Location Phone/Fax
| Phone: | 9152765018 |
| Fax: |
Provider Mailing Location
385 CALLE DE ALEGRA STE A
LAS CRUCES
NM
880053423
Provider Mailing Phone/Fax
| Phone: | 5755261105 |
| Fax: | 5755244266 |