Individual
LEE A CARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 FRUTA RD NE, RIO RANCHO, NM 87124-6557
(505) 892-6630
Mailing address
800 FRUTA RD NE, RIO RANCHO, NM 87124-6557
(505) 892-6630
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R24999
NM
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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