Individual
DEBBIE WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 MARSHALL ST, T OR C, NM 87901-6600
(575) 740-5096
Mailing address
15381 HIGHWAY 187, WILLIAMSBURG, NM 87942-9029
(575) 740-1876
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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