Gordo, Angel R

Gordo, Angel R is an individual health care provider with primary practice located at 72 Gail Harris St , Roswell NM 88203-8116. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gordo, Angel R can be contacted via phone (575) 347-3400.

Contact Information

Primary practice address
72 Gail Harris St Roswell NM 88203-8116
Phone: (575) 347-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CSA0206891 New Mexico

Profile Details

NPI number 1861033409
LBN Legal business name Gordo, Angel R
Credentials LSAA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2019
Last updated Oct 4th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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