Individual
MS. KATHLEEN MARTINA MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. M.T. #505
Contact information
Practice address
1167A HIGHWAY 554, EL RITO, NM 87530-0805
(505) 581-0033
(505) 581-0034
Mailing address
PO BOX 414, HCR 77 BOX F9, OJO CALIENTE, NM 87549-0414
(505) 747-9798
(505) 747-9798
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L.M.T. #505
NM
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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