Individual
MAYRA SRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1300 S IRON ST, DEMING, NM 88030-5040
(575) 546-3123
Mailing address
1321 E POPLAR ST, DEMING, NM 88030-4807
(575) 546-5951
(575) 546-5994
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R58036
NM
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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