Individual
MRS. SUSIE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 N LIGHT PLANT RD, AZTEC, NM 87410-1517
(505) 334-6102
(505) 599-4385
Mailing address
455 N LIGHT PLANT RD, AZTEC, NM 87410-1517
(505) 334-6102
(505) 599-4385
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-77802
NM
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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