Individual
REBEKAH BAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
455 N LIGHT PLANT RD, AZTEC, NM 87410-1517
(505) 334-6102
Mailing address
455 N LIGHT PLANT RD, AZTEC, NM 87410-1517
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-84389
NM
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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