Individual
BETTY ANN HAGAMAN I
Active
Individual
BETTY ANN HAGAMAN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
75-18
NM
251V00000X
Voluntary or Charitable Agency
Primary
75-18
NM
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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