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Individual

DR. TERESA KATHERINE ELAINE SMITH DE CHERIF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., M.I.A.

Contact information

Practice address
13 MORA CLINIC RD, BOX 209, MORA, NM 87732-2201
(575) 387-2201
(575) 387-9149
Mailing address
346 EL CERRO LOOP, LOS LUNAS, NM 87031-7665
(786) 942-1792

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
PENDING
NM

Other

Enumeration date
04/16/2008
Last updated
05/17/2012
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