Wash, Constance Daphne

Wash, Constance Daphne is an individual health care provider with primary practice located at 150 S Roadrunner Pkwy , Las Cruces NM 88011-7044. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Wash, Constance Daphne can be contacted via phone (505) 556-8600.

Contact Information

Primary practice address
150 S Roadrunner Pkwy Las Cruces NM 88011-7044
Phone: (505) 556-8600
Fax: (505) 556-8700
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 2001-330 New Mexico

Profile Details

NPI number 1932148384
LBN Legal business name Wash, Constance Daphne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Nov 17th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932148384 NPPES
New Mexico MEDICAID L0102
New Mexico Other 8R1581

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