Individual
MRS. RICKIE MARIE CHARWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
413 SIPAPU # 6952, TAOS, NM 87571-6489
(505) 758-5857
(505) 758-2832
Mailing address
329 JARAMILLO RD, TAOS, NM 87571-6590
(505) 613-2636
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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