Individual
ELIZABETH BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD,LMT
Contact information
Practice address
408 SPRINGS BLVD, ELEPHANT BUTTE, NM 87935
(505) 740-4224
(505) 744-0078
Mailing address
PO BOX 1024, TRUTH OR CONSEQUENCES, NM 87901-1024
(505) 740-4224
(505) 744-0078
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2996
NM
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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