Individual
MS. JULIE MARIE PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6349 HIGHWAY 550, CUBA, NM 87013
(505) 289-3291
(505) 289-2320
Mailing address
PO BOX 142, GALLINA, NM 87017-0142
(505) 638-0182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R26856
NM
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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