Individual
KATELYN MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 W ROOSEVELT AVE, GRANTS, NM 87020
(505) 285-2770
Mailing address
413 W ROOSEVELT AVE, GRANTS, NM 87020
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
66607
NM
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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