Individual
MS. MICHELE KATHERINE DE' MEDICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN;BSN;M,AC.;LIC.AC.
Contact information
Practice address
5301 HALLMARC DR, FARMINGTON, NM 87402-5107
(505) 326-2357
Mailing address
5301 HALLMARC DR, FARMINGTON, NM 87402-5107
(505) 326-2357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R36711
NM
171100000X
Acupuncturist
Primary
208
CO
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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