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Individual

KRISTEN MICHAELA EADS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
428 LOS LENTES RD SE STE 3, LOS LUNAS, NM 87031-6018
(505) 865-3350
Mailing address
PO BOX 28164, SANTA FE, NM 87592-8164
(505) 216-2727

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/10/2021
Last updated
12/10/2021
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