Individual
LORETTA BERUMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4950 MCNUTT RD, SANTA TERESA, NM 88008-9621
(575) 882-6101
Mailing address
4950 MCNUTT RD, SANTA TERESA, NM 88008-9621
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
558998
TX
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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