SearchNew Mexico183500000X

Papa Entsuah

NPI 1073924379 · on the registry since 2014

Practice

Address
4400 N Main St
Roswell, NM 88201
Phone
(479) 295-7198
Organisation at this address
Sams East Inc
Sam'S Club Optical
Sam'S Club Optical
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-05-08

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