Individual
DJ SOUTHPAW WOOLDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1060 CERRILLOS RD, SANTA FE, NM 87505-1650
(505) 216-2034
Mailing address
PO BOX 35172, ALBUQUERQUE, NM 87176-5172
(775) 200-9892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN67406
NM
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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