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Individual

SONJA H EMERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
500 NORTH MUNDO, DULCE, NM 87528-0187
(575) 759-7286
(575) 759-7289
Mailing address
P O BOX 187, 500 NORTH MUNDO, DULCE, NM 87528-0187
(575) 759-7286
(575) 759-7289

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R181458
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
320057
MEDICARE PART A
NM
01
HSZ196
MEDICARE PART B
NM
05
K0003526
NM
Enumeration date
10/10/2011
Last updated
10/10/2011
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