Individual
GRACE ELIZABETH HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 HIGHWAY 60 BLDG D, SOCORRO COUNTY, NM 87801-3914
(575) 838-4690
(575) 838-4689
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2024-0115
NM
Other
Enumeration date
08/08/2024
Last updated
11/04/2024
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