Individual
PERDITA WEXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 DOVE RD, BERNALILLO, NM 87004-5906
(505) 771-6759
Mailing address
2 DOVE RD, BERNALILLO, NM 87004-5906
(505) 771-6759
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001682
GOVT EMP BADGE
NM
Enumeration date
02/14/2023
Last updated
02/14/2023
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