Individual
TANIS LEE CATHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 W D.L. INGRAM, CANNON AFB, NM 88103
(575) 784-2231
(575) 784-2308
Mailing address
224 W D.L. INGRAM, CANNON AFB, NM 88103
(575) 784-2231
(575) 784-2308
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L17794
NM
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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