Individual
MARY V PEEBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2902 SUDDERTH DR, RUIDOSO, NM 88345-6320
(575) 630-0499
Mailing address
2902 SUDDERTH DR, RUIDOSO, NM 88345-6320
(575) 630-0499
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
1479
NM
Other
Enumeration date
08/22/2006
Last updated
08/23/2011
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