Individual
LAURA CARINA CHEADLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
(575) 637-3579
Mailing address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-77693
NM
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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