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Carolyn Toenniges

Clinic/Center in Las Cruces, NM. Organization (NPI-2).

NPI number1265044135
StatusActive
Last updated in NPPESSep 26, 2022

Details

NPI
1265044135
Entity type
Organization (NPI-2)
Legal business name
Carolyn Toenniges
Organization subpart
No
Enumeration date
Aug 20, 2020
Certification date
Sep 4, 2022
Last updated
Sep 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

1801 Carlen Ct
Las Cruces, NM 88001-2006

Phone 575-649-1979

Mailing address

1801 Carlen Ct
Las Cruces, NM 88001-2006

Phone 575-649-1979

Authorized official

Carolyn B Toenniges
Single Member
5756491979

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