Individual
MRS. HEATHER VANDOORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
505 SOUTH MAIN ST, SUITE 249, LAS CRUEES, NM 88001
(575) 527-5884
Mailing address
505 SOUTH MAIN, SUITE 249, LAS CRUEES, NM 88001
(575) 527-5884
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R39694
NM
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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