Individual
MS. BEATRIZ G PAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 HOPI DR, QUEMADO, NM 87829-9131
(520) 820-3545
Mailing address
HC 32 BOX 706, QUEMADO, NM 87829-9613
(520) 820-3574
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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