Individual
KATELYNN GRACE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1808 S ROOSEVELT ROAD 3, PORTALES, NM 88130-9005
(575) 825-0451
Mailing address
1808 S ROOSEVELT ROAD 3, PORTALES, NM 88130-9005
(575) 825-0451
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NM
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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