Individual
ELIZABETH HARTSHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 HOLGUIN RD, VADO, NM 88072-7220
(575) 233-5004
Mailing address
330 HOLGUIN RD, VADO, NM 88072-7220
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R42575
NM
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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