Individual
KATRINA MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 MAIN ST NE STE A, LOS LUNAS, NM 87031-7097
(505) 717-1155
Mailing address
2112 MAIN ST NE STE A, LOS LUNAS, NM 87031-7097
(505) 717-1155
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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