Individual
PATRICIA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
143 EL PASO RD, RUIDOSO, NM 88345-6033
(575) 630-7974
Mailing address
PO BOX 1112, CARRIZOZO, NM 88301-1112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R46489
NM
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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