Individual
RUTH A YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
520 W 5TH ST, PORTALES, NM 88130-6329
(575) 356-7097
(575) 356-4839
Mailing address
520 W 5TH ST, PORTALES, NM 88130-6329
(575) 356-7097
(575) 356-4839
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R32464
NM
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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