Individual
SUE CRUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 PASEO DEL CANON W, STE A, TAOS, NM 87571-6943
(575) 758-5857
(575) 758-5860
Mailing address
105 PASEO DEL CANON W, STE A, TAOS, NM 87571-6943
(575) 758-5857
(575) 758-5860
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN22947
NM
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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