Organization
CIRCLE OF THE SOLITARY
Active
Other names
Living Tree ABW
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY C SHAW MIM, MAAC, CIA, EA (CFO)
(915) 562-9223
Entity
Organization
Contact information
Practice address
1210 N MAIN ST, LAS CRUCES, NM 88001-1102
(575) 541-6177
(505) 541-6187
Mailing address
1210 N MAIN ST, LAS CRUCES, NM 88001-1102
(575) 541-6177
(505) 541-6187
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
96320 R
NM
Other
Enumeration date
11/06/2007
Last updated
06/20/2008
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