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Individual

CHARLOTTE LOUISE HUNTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3917 WEST RD STE A, LOS ALAMOS, NM 87544-2292
(505) 661-8900
(505) 661-8916
Mailing address
3917 WEST RD STE A, LOS ALAMOS, NM 87544-2292
(505) 661-8900
(505) 661-8916

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2017-0966
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104929289
MEDICARE
HI
Enumeration date
09/11/2006
Last updated
04/18/2018
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