Individual
MRS. KANSAS REBECCAMARIE COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4950 MCNUTT RD, SUNLAND PARK, NM 88008-9621
(575) 882-6101
Mailing address
13183 EMERALD ISLE ST, EL PASO, TX 79928-5343
(469) 424-7711
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
1150952
TX
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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