Individual
KATHERINE WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CASCADE AVE, SAN MIGUEL, NM 88058
(575) 233-3546
Mailing address
300 CASCADE AVE, SAN MIGUEL, NM 88058
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-75897
NM
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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