Individual
MICHELLE LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
918 ALTO ST, SANTA FE, NM 87501-2405
(505) 469-0237
Mailing address
918 ALTO ST, SANTA FE, NM 87501-2405
(505) 469-0237
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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