Individual
MR. CHARLES T WEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
413 SIPAPU ST, TAOS, NM 87571-6489
(575) 758-5857
(575) 758-2832
Mailing address
PO BOX 1403, EL PRADO, NM 87529-1403
(575) 613-2098
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-75869
NM
174400000X
Specialist
—
—
Other
Enumeration date
05/10/2006
Last updated
07/30/2012
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