Individual
KATHERINE PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
203 HOSPITAL DR, RATON, NM 87740-2012
(575) 445-3661
Mailing address
16 ALLENS ALY, RATON, NM 87740-3273
(505) 617-1607
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-1699
NM
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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