SearchNew Mexico1835P1200X

Scarlet Southern, RPH

NPI 1033271044 · on the registry since 2006 · sole proprietor

Practice

Address
Interstate 40, Exit 102
San Fidel, NM 87049
Phone
(505) 552-5394
Fax
(505) 552-5464
Clinicians at this address
2

Registry record

Primary taxonomy
1835P1200X
1835P1200X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico