Individual
ROBERTA HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT,CMLDT
Contact information
Practice address
635 BOSQUE FARMS BLVD # 87068, 1030 STOVALL AVE BOSQUE FARMS NM, BOSQUE FARMS, NM 87068-8933
(505) 319-4246
Mailing address
635 BOSQUE FARMS BLVD STE A, BOSQUE FARMS, NM 87068-8933
(505) 319-4246
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3769
NM
Other
Enumeration date
01/05/2010
Last updated
10/20/2015
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