Individual
MAYRA DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
(575) 627-2601
Mailing address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
(575) 627-2601
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-72150
NM
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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