Individual
KATHY GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 W. D.L. INGRAM, CANNON AIR FORCE BASE, NM 88103-3056
(575) 904-4005
Mailing address
1508 LAYTON CT, CLOVIS, NM 88101-3056
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R47843
NM
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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