Individual
MS. CONSTANCE MARIE FETTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 S MAIN ST, SUITE 9, LAS CRUCES, NM 88005-2917
(575) 312-5695
Mailing address
1080 LA QUINTA ST, LAS CRUCES, NM 88007-4809
(575) 312-5695
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R10382
NM
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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