Individual
KATHRYN PEREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1044 BALBOA CT SE, LOS LUNAS, NM 87031-9240
(505) 966-1306
(505) 966-1350
Mailing address
1044 BALBOA CT SE, LOS LUNAS, NM 87031-9240
(505) 966-1306
(505) 966-1350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R20397
NM
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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