Individual
DR. KATHERINE ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M.
Contact information
Practice address
606 SOUTH RIO GRANDE AVE., SUITE B, AZTEC, NM 87410
(505) 334-2008
(505) 334-5515
Mailing address
606 SOUTH RIO GRANDE AVE., SUITE B, AZTEC, NM 87410
(505) 334-2008
(505) 334-5515
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
208
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM01R303
BLUE CROSS
NM
Enumeration date
11/03/2006
Last updated
07/08/2007
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