Whalio Doctors

NPI 1487662540

Rosalind Monica Degeorge, PAC

Practitioner Physician Assistant Los Lunas, NM

Practice location

Address
111 Sandoval Rd SW, Los Lunas, NM 87031-7320
Phone
(505) 565-4355
Fax
(505) 565-4360

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA2005-0054 (NM)

Registry record

NPI
1487662540
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Aug 2006
Record last updated
28 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.