Individual
KATHRYN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
1210 N MAIN ST, LAS CRUCES, NM 88001-1102
(505) 541-6177
Mailing address
314 PHILLIPS DR, LAS CRUCES, NM 88005-1661
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
NM96320R
NM
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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