Individual
MRS. KATHLEEN MARIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1515 EUBANK BLVD SE, BLDG. 831/832, ALBUQUERQUE, NM 87185-1019
(505) 844-4237
Mailing address
1515 EUBANK BLVD SE, BLDG. 831/832, ALBUQUERQUE, NM 87185-1019
(505) 844-4237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R65778
NM
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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