| Doctor Name: | MARY OROSCO |
| NPI Number: | 1982701231 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | R48082 |
| Business Practice Address: | 318 Abalone Loop Mescalero, NM - 88340 |
| Business Phone Number: | 5054644441 |
| Business Fax Number: | |
| Mailing Address: | W12 Goat Summit Dr, MESCALERO |
| State: | NM |
| Postal Code: | 883409624 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | R48082 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |