Individual
MRS. DIANE KRESL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 E CHACO ST, AZTEC, NM 87410-2170
(505) 334-9414
(505) 599-4387
Mailing address
713 MARABOOTS CIR, AZTEC, NM 87410-2080
(505) 334-9414
(505) 599-4387
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R30362
NM
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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