NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1881668531 | ACKLIN | TIMOTHY | EUGENE |   | 2445 MISSOURI | LAS CRUCES | NM | 88001 |
1588084115 | BARELA | JOSIE | MARIE |   | 2445 MISSOURI AVE | LAS CRUCES | NM | 880015111 |
1447556832 | CARRUTHERS | ESTEE | SONNIE |   | 2445 MISSOURI AVE | LAS CRUCES | NM | 880015111 |
1871909069 | THOMAS | GEORGE |   |   | 2445 MISSOURI AVE., SUITE A | LAS CRUCES | NM | 88001 |