Individual
MRS. CAROL ANNE CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
50 COUNTY RD 13, CUBA, NM 87013-0070
(505) 289-3211
Mailing address
PO BOX 125, CUBA, NM 87013-0125
(505) 289-9128
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R43883
NM
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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