Individual
KAREN KAY EAGLE ARAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
282 CASA BLANCA RD, CASA BLANCA, NM 87007-1071
(505) 285-2672
Mailing address
PO BOX 8, GRANTS, NM 87020-0008
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L12096
NM
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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