Individual
RUTH BEAR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
1650 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1734
(505) 272-8062
Mailing address
1505 VISTA LARGA CT NE, ALBUQUERQUE, NM 87106-2646
(505) 265-7172
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
027
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89531558
—
NM
Enumeration date
10/13/2005
Last updated
07/08/2007
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