Individual
MYRIAH HAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.
Contact information
Practice address
941 DUNLAP ST, SANTA FE, NM 87501-2415
(505) 795-9508
Mailing address
941 DUNLAP ST, SANTA FE, NM 87501-2415
(505) 795-9508
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
10075R
NM
Other
Enumeration date
12/14/2010
Last updated
09/20/2012
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