Individual
RUTH MICHELLE MATKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM, RN
Contact information
Practice address
7120 4TH ST NW, LOS RANCHOS, NM 87107-6642
(505) 899-7095
Mailing address
7120 4TH ST NW, LOS RANCHOS, NM 87107-6642
(505) 899-7095
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R49349
NM
171100000X
Acupuncturist
Primary
1050
NM
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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